NPIMap

Organization Active NPI

Liberty Commons Nursing and Rehabilitation Center of Highland

  • Skilled Nursing Facility
  • Fayetteville, NC
National Provider Identifier
1811611577
Registry record updated Oct 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
LIBERTY COMMONS NURSING AND REHABILITATION CENTER OF HIGHLAND
Practice address
1700 Pamalee Dr
Fayetteville, NC 28301-2824
Phone
(910) 488-2295
Fax
(910) 488-0087
NPI assigned
Sep 27, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2022

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

Authorized official

Name
Jeffrey Wilson
Title
Chief Operating Officer
Phone
(910) 815-3122

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

1700 Pamalee Dr
Fayetteville, NC 28301-2824

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
345353OtherNCMEDICARE OSCAR/CERTIFICATION

Other names 1

  • Highland House Rehabilitation and Healthcare Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Other Other

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221205003250 NC Part A Provider - Skilled Nursing Facility 0840669354 Practice locations: Fayetteville, NC

Skilled nursing facility certification: CCN 345353

Legal name
LIBERTY COMMONS NURSING AND REHABILITATION CENTER OF HIGHLAND
Doing business as
HIGHLAND HOUSE REHABILITATION AND HEALTHCARE
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Mar 5, 1991
Last certification
Dec 19, 2024
Beds
159 (106 certified)
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Liberty Health and Rehabilitation
Organization structure
LLCProprietary
Incorporated
Jun 14, 2022 in NC
Enrollment address
1700 Pamalee Dr
Fayetteville, NC 28301-2824
Nursing home name
HIGHLAND HOUSE REHABILITATION AND HEALTHCARE
Affiliated entity
LIBERTY SENIOR LIVING

Care Compare: Nursing home

Medicare Care Compare
Listed as
Highland House Rehabilitation and HealthcareCCN 345353
Overall star rating
2 of 5
Health inspections
3 of 5
Staffing
1 of 5
Quality measures
2 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Mar 5, 1991
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
10697.0 residents per day on average
Chain
Liberty Senior Living37 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 20

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

NameRoleSinceShare
Jenny Purvis Individual Trustee of the SNF Apr 29, 2025
Liberty Healthcare Management Inc Organization, Wilmington, NC Management services company Adp of the SNF Apr 29, 2025
Ronald B. and Cynthia J. McNeill 2013 Irrevocable Trust Organization, Wilmington, NC 5% Or Greater Indirect Ownership Interest Sep 30, 2022 24%
Jeffrey S. Wilson Individual Corporate OfficerCoo Oct 1, 2022
Adp of the SNF Apr 29, 2025
Ronald B and Cynthia J McNeil 2014 Irrevocable Trust Organization, Wilmington, NC 5% Or Greater Indirect Ownership Interest Apr 29, 2025
Liberty Healthcare Group LLC Organization, Wilmington, NC LLC, Holding company, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Sep 30, 2022 100%
Robert McNeill Individual Trustee of the SNF Apr 29, 2025
Jose E Gonzalez Individual Adp of the SNF Jun 26, 2026
John Albert McNeill Individual 5% Or Greater Indirect Ownership Interest Sep 30, 2022 26%
Limited Partnership Interest Apr 29, 2025
Liberty Healthcare Properties of Highland House, LLC Organization, Wilmington, NC LLC Adp of the SNF Apr 29, 2025
Joseph V Calcutt Individual Corporate OfficerCfo Oct 1, 2022
Adp of the SNF Apr 29, 2025
Liberty Long Term Care LLC Organization, Wilmington, NC LLC, Holding company, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Sep 30, 2022 100%
Liberty Real Properties IV LLC Organization, Wilmington, NC LLC, Holding company Adp of the SNF Apr 29, 2025
Penny T. Purifoy Individual Corporate Officer Apr 29, 2025
Long Term Care Management Services LLC Organization, Wilmington, NC LLC, Management services company Adp of the SNF Apr 29, 2025
Robert B Miller Individual Corporate Director Apr 29, 2025
Adp of the SNF Apr 29, 2025
Ronald Benjamin McNeill Individual 5% Or Greater Indirect Ownership Interest Sep 30, 2022 26%
John a McNeill Jr 2012 Irrv TR Organization, Wilmington, NC 5% Or Greater Indirect Ownership Interest Sep 30, 2022 24%
Tonya Drake Individual Operational/Managerial Control Apr 29, 2025
Adp of the SNF Apr 20, 2026
Anna Oliver Individual Trustee of the SNF Apr 29, 2025

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 26

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

View all 26

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 2

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": "1664236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666137600000",
    "number": "1811611577",
    "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": "1700 PAMALEE DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283012824",
            "telephone_number": "910-488-2295",
            "fax_number": "910-488-0087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERTY COMMONS NURSING AND REHABILITATION CENTER OF HIGHLAND",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-27",
        "last_updated": "2022-10-19",
        "certification_date": "2022-10-19",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "910-815-3122"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE OSCAR/CERTIFICATION",
            "identifier": "345353",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Other",
            "affiliation": "N",
            "endpointDescription": "Skilled Nursing Facility",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Other",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Skilled Nursing Facility",
            "address_1": "1700 Pamalee Dr",
            "city": "Fayetteville",
            "state": "NC",
            "country_code": "US",
            "postal_code": "283012824",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Highland House Rehabilitation and Healthcare",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Highland House Rehabilitation and Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fayetteville, NC

Sources for this page

Verify at the official NPI Registry.