NPIMap

Organization Active NPI

Liberty Healthcare Group, LLC

Doing business as Liberty Home Care , LLC

  • Community Based Hospice Care Agency
  • Clinton, NC
National Provider Identifier
1851477418
Registry record updated May 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
HOS3054 Issued in NC
Legal business name
LIBERTY HEALTHCARE GROUP, LLC
Doing business as
Liberty Home Care , LLC
Practice address
208 Beaman St
Clinton, NC 28328-2906
Phone
(910) 592-8367
Fax
(910) 592-8360
NPI assigned
Oct 27, 2006
Last updated
May 1, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2013

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

Authorized official

Name
Mr. Anthony J. Zizzamia Jr., RN
Title
President/Executive Director
Phone
(910) 815-3122

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X HOS3054 NC Primary

Addresses

Primary practice location

208 Beaman St
Clinton, NC 28328-2906

Mailing address

2334 S 41St St
Wilmington, NC 28403-5502
Phone (910) 815-3122

Other identifiers 2

IdentifierTypeStateIssuer
007AOtherNCBLUE CROSS BLUE SHIELD
3411569MedicaidNC

Other names 1

  • Liberty Home Care , LLC Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060109000110 NC Part A Provider - Hospice 4587574355 13 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Wilmington, NC; Clinton, NC; Whiteville, NC; Wendell, NC; Supply, NC; Lumberton, NC; Jacksonville, NC; Hampstead, NC…

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1851477418. Details of each certification follow.

Hospice certification: CCN 341569

Legal name
LIBERTY HEALTHCARE GROUP LLC
Doing business as
LIBERTY HOME CARE AND HOSPICE
Certification status
Active
Provider type (POS)
Hospice
Participating since
Mar 29, 1994
Last certification
May 25, 2022
Ownership / control type
Proprietary - Other
Organization structure
LLCProprietary
Incorporated
Jun 7, 2002 in NC
Enrollment address
420 Eastwood Rd
Ste 102
Wilmington, NC 28403-1866

Other NPIs on the same Medicare enrollment 13

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 13

Care Compare: Hospice

Medicare Care Compare
Listed as
Liberty Home Care and HospiceCCN 341569 · All quality measures
Ownership
For-Profit
Certified
Mar 29, 1994
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 16

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

NameRoleSinceShare
Sami Jo Taglieri Individual W-2 Managing EmployeeHospice Administrator Jun 1, 2025
Brandi Devane Individual Operational/Managerial ControlOperations Manager Jan 1, 2018
Home Care Management Services LLC Organization, Wilmington, NC LLC Operational/Managerial Control Oct 26, 2006
Ron Tatum Individual W-2 Managing EmployeeHospice Director Jun 28, 2025
Ariel Greenleaf Individual W-2 Managing EmployeeHospice Director Feb 10, 2025
Barbara Ring Individual Operational/Managerial ControlOperations Manager Oct 15, 2017
Kehinde Peralte Individual W-2 Managing EmployeeHospice Administrator Jan 29, 2024
Stephanie Adair Individual Operational/Managerial ControlHospice Administrator Feb 28, 2022
Katrina Stanley Individual W-2 Managing EmployeeAd; Mar 24, 2024
Kristi Cannon Individual W-2 Managing EmployeeAd; Mar 10, 2024
John Albert McNeill Individual 5% Or Greater Direct Ownership Interest Oct 1, 2008 50%
5% Or Greater Indirect Ownership Interest Oct 1, 2008 50%
Donna Turlington Individual W-2 Managing EmployeePres of HC & Hosp & Palliative Care Aug 1, 2023
Megan Vinson Individual W-2 Managing EmployeeHospice Administrator Aug 11, 2024
Liberty Homecare Group, LLC Organization, Wilmington, NC LLC Operational/Managerial Control Jun 7, 2002
Ronald Benjamin McNeill Individual 5% Or Greater Direct Ownership Interest Oct 1, 2008 50%
5% Or Greater Indirect Ownership Interest Oct 1, 2008 50%
Corporate Director May 24, 2005
W-2 Managing Employee May 24, 2005
Christopher Michael Wood Individual W-2 Managing EmployeeMD; Oct 1, 2025

Owners & managing parties with NPI records 1

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

Practitioners & affiliated clinicians

Affiliated clinicians 43

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

View all 43

NPI Registry JSON

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367366400000",
    "number": "1851477418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2334 S 41ST ST",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284035502",
            "telephone_number": "910-815-3122",
            "fax_number": "910-815-3111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 BEAMAN ST",
            "city": "CLINTON",
            "state": "NC",
            "postal_code": "283282906",
            "telephone_number": "910-592-8367",
            "fax_number": "910-592-8360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERTY HEALTHCARE GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-27",
        "last_updated": "2013-05-01",
        "status": "A",
        "authorized_official_last_name": "ZIZZAMIA",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRESIDENT/EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "910-815-3122",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NC",
            "license": "HOS3054",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "007A",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3411569",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Liberty Home Care , LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clinton, NC

Sources for this page

Verify at the official NPI Registry.