NPIMap

Organization Active NPI

Liberty Healthcare Group, LLC

Doing business as Summerstone Health and Rehabilitation Center

  • Skilled Nursing Facility
  • Kernersville, NC
National Provider Identifier
1710244827
Registry record updated Nov 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
LIBERTY HEALTHCARE GROUP, LLC
Doing business as
Summerstone Health and Rehabilitation Center
Practice address
485 Veterans Way
Kernersville, NC 27284-9903
Phone
(336) 767-2750
Fax
(336) 767-3862
NPI assigned
Apr 13, 2012
Last updated
Nov 20, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Joe Calcutt
Title
Ceo
Phone
(910) 815-3122

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NC Primary
Prosthetic/Orthotic Supplier 335E00000X NH0439 NC

Addresses

Primary practice location

485 Veterans Way
Kernersville, NC 27284-9903

Mailing address

44 McNeill PLZ
Whiteville, NC 28472-8602
Phone (910) 642-0224

Other names 3

  • Summerstone Health and Rehabilitation Center Doing business as
  • Liberty Commons Nursing & Rehabilitation Center of Springwood, LLC Other name
  • Liberty Commons of Kernersville, LLC Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120711000335 NC Part A Provider - Skilled Nursing Facility 4587574355 Practice locations: Kernersville, NC

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1710244827. Details of each certification follow.

Skilled nursing facility certification: CCN 345039

Legal name
LIBERTY HEALTHCARE GROUP LLC
Doing business as
SUMMERSTONE HEALTH AND REHAB
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jan 1, 1978
Last certification
Jan 10, 2025
Beds
138
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Liberty Long Term Care, LLC
Organization structure
LLCProprietary
Incorporated
Mar 10, 2011 in NC
Enrollment address
485 Veterans Way
Kernersville, NC 27284
Nursing home name
SUMMERSTONE HEALTH AND REHABILITATION CENTER
Affiliated entity
LIBERTY SENIOR LIVING

Care Compare: Nursing home

Medicare Care Compare
Listed as
Summerstone Health and Rehabilitation CenterCCN 345039 · All quality measures
Overall star rating
3 of 5
Health inspections
3 of 5
Staffing
2 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Jan 1, 1978
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
138126.6 residents per day on average
Chain
Liberty Senior Living37 facilities in the chain
Penalties (3 years)
1Fines totaling $14,511

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
34D0715740Liberty Commons of Kernersville Dba485 Veterans Way, Kernersville, NC 27284Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory
Tax ID family
Liberty Healthcare Group LLC119 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Ownership & related parties

All disclosed owners & managing parties 11

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Anthony V Hamric Individual Operational/Managerial ControlReimbursement Coordinator Jan 24, 2005
Shonette Y Cobb Individual W-2 Managing EmployeeAdministrator Oct 21, 2022
Jeffrey S. Wilson Individual Corporate DirectorPresident May 1, 2012
Operational/Managerial Control May 1, 2012
Liberty Healthcare Group LLC Organization, Wilmington, NC LLC 5% Or Greater Indirect Ownership Interest May 1, 2012 100%
John Albert McNeill Individual 5% Or Greater Indirect Ownership Interest May 1, 2012 50%
W-2 Managing Employee May 1, 2012
Operational/Managerial Control Mar 10, 2011 100%
Joseph V Calcutt Individual Corporate OfficerCfo May 1, 2012
W-2 Managing Employee May 1, 2012
Liberty Long Term Care LLC Organization, Wilmington, NC LLC 5% Or Greater Direct Ownership Interest May 1, 2012 100%
Penny T. Purifoy Individual W-2 Managing Employee May 1, 2012
Operational/Managerial Control May 1, 2012
Long Term Care Management Services LLC Organization, Wilmington, NC LLC Operational/Managerial Control May 1, 2012
Matthew L Bork Individual Operational/Managerial ControlDirector of Operations Finance Jan 29, 2007
Ronald Benjamin McNeill Individual 5% Or Greater Indirect Ownership Interest May 1, 2012 50%
W-2 Managing Employee May 1, 2012
Operational/Managerial Control Mar 10, 2011 100%

All facility ownership & control disclosures 28

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Lee County Nursing and Rehabilitation Center, LLCSanford, NC, CCN 345216 Skilled nursing facility Indirect Ownership Interest (100%) Apr 29, 2025
Liberty Commons Nursing and Rehabiltation Center of Lee County LLCSanford, NC, CCN 345532 Skilled nursing facility Indirect Ownership Interest (100%) Jun 6, 2025
Liberty Healthcare Services of Golden Years Nursing Center LLCFalcon, NC, CCN 345367 Skilled nursing facility Indirect Ownership Interest (100%) Apr 1, 2025
Liberty Commons Nursing and Rehabilitation Center of Johnston CountyBenson, NC, CCN 345519 Skilled nursing facility Indirect Ownership Interest (100%) Apr 1, 2025
Three Rivers Health and Rehabillitation CenterWindsor, NC, CCN 345404 Skilled nursing facility 5% Or Greater Indirect Ownership Interest (100%) Jun 25, 2025
Liberty Commons Nursing and Rehabilitation Center of Rowan County, LLCSalisbury, NC, CCN 345503 Skilled nursing facility 5% Or Greater Indirect Ownership Interest (100%)
Indirect Ownership Interest (100%)		 Apr 4, 2025
Apr 4, 2025
Liberty Commons Nursing and Rehabilitation Center of Wake County, LLCRaleigh, NC, CCN 345202 Skilled nursing facility Adp of the SNF
Indirect Ownership Interest (100%)		 Jul 22, 2025
Apr 29, 2025
Liberty Healthcare Services of Southwood Nursing Center LLCClinton, NC, CCN 345472 Skilled nursing facility 5% Or Greater Indirect Ownership Interest (100%) Jun 25, 2025
Liberty Healthcare Services of Mary Gran Nursing Center, LLCClinton, NC, CCN 345218 Skilled nursing facility 5% Or Greater Indirect Ownership Interest (100%) Jun 25, 2025
Liberty Commons Nursing and Rehabilitation Center of Matthews LLCMatthews, NC, CCN 345026 Skilled nursing facility Adp of the SNF
Indirect Ownership Interest (100%)		 Sep 29, 2025
Apr 1, 2025
Shoreland Healthcare and Retirement CenterWhiteville, NC, CCN 345397 Skilled nursing facility Adp of the SNF Mar 23, 2026
Liberty Commons Nursing and Rehabilitation Center of the Oaks LLCWinston-Salem, NC, CCN 345284 Skilled nursing facility 5% Or Greater Direct Ownership Interest May 1, 2011
Woodlands Nursing and Rehabilitation CenterFayetteville, NC, CCN 345481 Skilled nursing facility Indirect Ownership Interest (100%) Apr 29, 2025
Liberty Healthcare Group LLCWarrenton, NC, CCN 345240 Skilled nursing facility Indirect Ownership Interest Apr 4, 2025
Liberty Commons Nursing & Rehabilitation Center of Southport LLCSouthport, NC, CCN 345373 Skilled nursing facility Adp of the SNF
Indirect Ownership Interest (100%)		 May 30, 2025
Apr 29, 2025
Parkview Health & Rehab CenterChapel Hill, NC, CCN 345576 Skilled nursing facility 5% Or Greater Indirect Ownership Interest (100%) Apr 4, 2025
Liberty Commons Nursing and Rehabilitation Center of Watauga CountyBlowing Rock, NC, CCN 345045 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Oct 1, 2019
Louisburg Healthcare and Rehabilitation CenterLouisburg, NC, CCN 345358 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Feb 1, 2020
Liberty Commons Nursing and Rehabilitation Center of Yadkin County LLCYadkinville, NC, CCN 345167 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Feb 1, 2020
Pinehurst Healthcare and Rehabilitation CenterPinehurst, NC, CCN 345370 Skilled nursing facility 5% Or Greater Indirect Ownership Interest (100%) Apr 4, 2025
Roxboro Healthcare and Rehabilitation CenterRoxboro, NC, CCN 345311 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Feb 1, 2020
Elizabethtown Healthcare and Rehabilitation CenterElizabethtown, NC, CCN 345210 Skilled nursing facility 5% Or Greater Indirect Ownership Interest (100%)
Indirect Ownership Interest (100%)		 Mar 31, 2025
Mar 31, 2025
Oak Forest Health and RehabilitationWinston Salem, NC, CCN 345443 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2021
Highland House Rehabilitation and HealthcareFayetteville, NC, CCN 345353 Skilled nursing facility 5% Or Greater Indirect Ownership Interest (100%) Sep 30, 2022
Woodhaven Nursing CenterLumberton, NC, CCN 345054 Skilled nursing facility Adp of the SNF
Indirect Ownership Interest (100%)		 Nov 20, 2024
Oct 1, 2023
Silver BluffCanton, NC, CCN 345341 Skilled nursing facility Indirect Ownership Interest (100%) Sep 5, 2024
The Preserve at Fairfield GladeCrossville, TN, CCN 445506 Skilled nursing facility 5% Or Greater Indirect Ownership Interest (100%) Oct 1, 2025
Liberty Home Care II LLCSouthern Pines, NC, CCN 347024 Home health agency 5% Or Greater Direct Ownership Interest Jul 1, 2002

Facilities with the same owner 30

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 30

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1334275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605830400000",
    "number": "1710244827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 MCNEILL PLZ",
            "city": "WHITEVILLE",
            "state": "NC",
            "postal_code": "284728602",
            "telephone_number": "910-642-0224",
            "fax_number": "910-642-8537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "485 VETERANS WAY",
            "city": "KERNERSVILLE",
            "state": "NC",
            "postal_code": "272849903",
            "telephone_number": "336-767-2750",
            "fax_number": "336-767-3862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERTY HEALTHCARE GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-13",
        "last_updated": "2020-11-20",
        "certification_date": "2020-11-20",
        "status": "A",
        "authorized_official_last_name": "CALCUTT",
        "authorized_official_first_name": "JOE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "910-815-3122"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NC",
            "license": null,
            "primary": true
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NC",
            "license": "NH0439",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Summerstone Health and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Liberty Commons Nursing & Rehabilitation Center of Springwood, LLC",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Liberty Commons of Kernersville, LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Kernersville, NC

Sources for this page

Verify at the official NPI Registry.