NPIMap

Organization Active NPI

Liberty Healthcare Group, LLC

  • Skilled Nursing Facility
  • Winston Salem, NC
National Provider Identifier
1881993079
Registry record updated Sep 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
NH0439 Issued in NC
Legal business name
LIBERTY HEALTHCARE GROUP, LLC
Practice address
901 Bethesda Rd
Winston Salem, NC 27103-3015
Phone
(336) 768-2211
Fax
(336) 774-6545
NPI assigned
Mar 28, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2012

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NH0439 NC Primary

Addresses

Primary practice location

901 Bethesda Rd
Winston Salem, NC 27103-3015

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
3415284MedicaidNC

Other names 1

  • Liberty Commons Nursing & Rehab Center of The Oaks, LLC Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110527000261 NC Part A Provider - Skilled Nursing Facility 4587574355 Practice locations: Winston-Salem, NC

Skilled nursing facility certification: CCN 345284

Legal name
LIBERTY HEALTHCARE GROUP LLC
Doing business as
LIBERTY COMMONS NURSING AND REHABILITATION CENTER OF THE OAKS LLC
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jun 30, 1988
Last certification
Jul 24, 2024
Beds
151 (131 certified)
Ownership / control type
Corporation
Organization structure
LLCProprietary
Enrollment address
901 Bethesda Rd
Winston-Salem, NC 27103-5614
Nursing home name
THE OAKS
Affiliated entity
LIBERTY SENIOR LIVING

Care Compare: Nursing home

Medicare Care Compare
Listed as
The OaksCCN 345284
Overall star rating
2 of 5
Health inspections
2 of 5
Staffing
2 of 5
Quality measures
2 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Jun 30, 1988
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
131119.9 residents per day on average
Chain
Liberty Senior Living37 facilities in the chain

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
34D0712776Liberty Commons Nursing and Rehabilitation Center901 Bethesda Road, Winston Salem, NC 27103Certificate 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 9

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

NameRoleSinceShare
Jeffrey S. Wilson Individual Corporate Director May 1, 2011
W-2 Managing Employee May 1, 2011
Liberty Healthcare Group LLC Organization, Wilmington, NC 5% Or Greater Direct Ownership Interest May 1, 2011
Garrett R Keener Individual W-2 Managing EmployeeAdministrator Jun 23, 2023
John Albert McNeill Individual 5% Or Greater Direct Ownership Interest May 1, 2011
W-2 Managing Employee May 1, 2011
Joseph V Calcutt Individual W-2 Managing Employee May 1, 2011
Liberty Long Term Care LLC Organization, Wilmington, NC 5% Or Greater Direct Ownership Interest May 1, 2011
Penny T. Purifoy Individual W-2 Managing Employee May 1, 2011
Robert B Miller Individual Corporate DirectorSenior Director of Revenue Cycle Sep 1, 2024
Ronald Benjamin McNeill Individual 5% Or Greater Direct Ownership Interest May 3, 2011
W-2 Managing Employee May 3, 2011

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
Summerstone Health and RehabKernersville, NC, CCN 345039 Skilled nursing facility 5% Or Greater Indirect Ownership Interest (100%) May 1, 2012
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 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": "1301270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346716800000",
    "number": "1881993079",
    "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": "901 BETHESDA RD",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271033015",
            "telephone_number": "336-768-2211",
            "fax_number": "336-774-6545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERTY HEALTHCARE GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-28",
        "last_updated": "2012-09-04",
        "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": "NH0439",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3415284",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Liberty Commons Nursing & Rehab Center of The Oaks, LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Winston Salem, NC

Sources for this page

Verify at the official NPI Registry.