Liberty Healthcare Group, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

NC0560 Issued in NC

Legal business name

LIBERTY HEALTHCARE GROUP, LLC

Practice address

316 NC Highway 801 S
Advance, NC 27006-7647

Phone

(336) 998-0240

Fax

(336) 998-0243

NPI assigned

May 8, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Joe Calcutt

Title

Cfo

Phone

(910) 815-3122

Specialties & licenses 2

Addresses

Other names 1

• Bermuda Commons Nsg and REhabilitation Center Doing business as

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Skilled nursing facility certification: CCN 345543

Legal name

LIBERTY HEALTHCARE GROUP LLC

Doing business as

LIBERTY COMMONS NURSING AND REHABILITATION CENTER OF DAVIE COUNTY LLC

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Feb 18, 2008

Last certification

Mar 6, 2025

Beds

127 (117 certified)

Ownership / control type

Limited Liability Corporation

Multi-facility organization

Liberty Healthcare

Organization structure

LLCProprietary

Incorporated

Apr 9, 2007 in NC

Enrollment address

316 NC Highway 801 S
Advance, NC 27006-7647

Nursing home name

BERMUDA COMMONS NURSING AND REHABILITATION CENTER

Affiliated entity

LIBERTY SENIOR LIVING

Listed as

Bermuda Commons Nursing and Rehabilitation CenterCCN 345543

Overall star rating

3 of 5

Health inspections

3 of 5

Staffing

2 of 5

Quality measures

2 of 5

Type

Medicare and Medicaid

Ownership

For profit - Limited Liability company

Certified

Feb 18, 2008

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

117108.5 residents per day on average

Chain

Liberty Senior Living37 facilities in the chain

Penalties (3 years)

2Fines totaling $28,043

Processed by Care Compare on Aug 1, 2026.

Tax ID family

Liberty Healthcare Group LLC119 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 23

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

• Liberty Healthcare Group LLC

  • Skilled Nursing Facility
  • Fayetteville, NC
  • NPI 1730817776
  NPD tax ID
• Liberty Healthcare Group LLC

  • Skilled Nursing Facility
  • Sanford, NC
  • NPI 1861446338
  NPD tax ID
• Liberty Healthcare Group LLC

  • Skilled Nursing Facility
  • Windsor, NC
  • NPI 1881648350
  NPD tax ID
• Liberty Healthcare Group LLC

  • Skilled Nursing Facility
  • Sanford, NC
  • NPI 1891740544
  NPD tax ID
• Liberty Healthcare Group LLC

  • Skilled Nursing Facility
  • Falcon, NC
  • NPI 1912040379
  NPD tax ID
• Liberty Healthcare Group, LLC

  • Community Based Hospice Care Agency
  • Swanquarter, NC
  • NPI 1770059057
  NPD tax ID
• Liberty Healthcare Group, LLC

  • Community Based Hospice Care Agency
  • Elizabethtown, NC
  • NPI 1801974555
  NPD tax ID
• Liberty Healthcare Group, LLC

  • Home Health Agency
  • Wilmington, NC
  • NPI 1841245214
  NPD tax ID
• Liberty Healthcare Group, LLC

  • Skilled Nursing Facility
  • Winston Salem, NC
  • NPI 1881993079
  NPD tax ID
• Liberty Healthcare Group, LLC

  • Community Based Hospice Care Agency
  • Durham, NC
  • NPI 1912086844
  NPD tax ID
• Liberty Healthcare Group, LLC

  • Alzheimer Center (Dementia Center)
  • Jacksonville, NC
  • NPI 1912920174
  NPD tax ID
• Liberty Healthcare Group, LLC

  • Skilled Nursing Facility
  • Charlotte, NC
  • NPI 1962832899
  NPD tax ID

All disclosed owners & managing parties 17

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

Owners & managing parties with NPI records 1

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

• Rebecca Myer Henderson, MD PHD

  • Internal Medicine Physician
  • Winston Salem, NC
  • NPI 1639496458

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

All facility ownership & control disclosures 29

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

Facilities with the same owner 20

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

• Liberty Commons Nursing and Rehabilitation Center of Highland

  • Skilled Nursing Facility
  • Fayetteville, NC
  • NPI 1811611577

  Liberty Long Term Care LLC

  CMS ownership
• Liberty Commons of Robeson County

  • Skilled Nursing Facility
  • Lumberton, NC
  • NPI 1053090092

  Liberty Long Term Care LLC

  CMS ownership
• Liberty Healthcare Group LLC

  • Skilled Nursing Facility
  • Clinton, NC
  • NPI 1043263981

  Liberty Long Term Care LLC

  CMS ownership
• Liberty Healthcare Group LLC

  • Assisted Living Facility
  • Weldon, NC
  • NPI 1164476636

  Liberty Long Term Care LLC

  CMS ownership
• Liberty Healthcare Group LLC

  • Skilled Nursing Facility
  • Raleigh, NC
  • NPI 1255385720

  Liberty Long Term Care LLC

  CMS ownership
• Liberty Healthcare Group LLC

  • Skilled Nursing Facility
  • Burlington, NC
  • NPI 1326089616

  Liberty Long Term Care LLC

  CMS ownership
• Liberty Healthcare Group LLC

  • Skilled Nursing Facility
  • Matthews, NC
  • NPI 1336193754

  Liberty Long Term Care LLC

  CMS ownership
• Liberty Healthcare Group LLC

  • Skilled Nursing Facility
  • Salisburg, NC
  • NPI 1407800972

  Liberty Long Term Care LLC

  CMS ownership
• Liberty Healthcare Group LLC

  • Skilled Nursing Facility
  • Benson, NC
  • NPI 1669425401

  Liberty Long Term Care LLC

  CMS ownership
• Liberty Healthcare Group LLC

  • Skilled Nursing Facility
  • Clinton, NC
  • NPI 1720033475

  Liberty Long Term Care LLC

  CMS ownership
• Liberty Healthcare Group LLC

  • Skilled Nursing Facility
  • Sanford, NC
  • NPI 1861446338

  Liberty Long Term Care LLC

  CMS ownership
• Liberty Healthcare Group LLC

  • Skilled Nursing Facility
  • Windsor, NC
  • NPI 1881648350

  Liberty Long Term Care LLC

  CMS ownership

Practitioners 1

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

• Rebecca Myer Henderson, MD PHD

  • Internal Medicine Physician
  • Winston Salem, NC
  • NPI 1639496458
  NPD (past)

Affiliated clinicians 1

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

• Rebecca Myer Henderson, MD PHD

  • Internal Medicine Physician
  • Winston Salem, NC
  • NPI 1639496458

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203292800000",
    "number": "1891908687",
    "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": "910-642-8537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 NC HIGHWAY 801 S",
            "city": "ADVANCE",
            "state": "NC",
            "postal_code": "270067647",
            "telephone_number": "336-998-0240",
            "fax_number": "336-998-0243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERTY HEALTHCARE GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-08",
        "last_updated": "2008-02-18",
        "status": "A",
        "authorized_official_last_name": "CALCUTT",
        "authorized_official_first_name": "JOE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "910-815-3122",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NC",
            "license": "NC0560",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NC",
            "license": "NC0560",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bermuda Commons Nsg and REhabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michelle Reynolds Lamoureux, PTA
• John Francis Lane, CRNA
• Dianna Choua Lee, PHARMD
• John Ralph Lerro Jr, PTA
• Amy Li, DMD
• Stephen Douglas Lindley, PTA
• Casey Leigh Luffman, PTA
• Sherman Levi Lyons
• Jonah Lytch, COTA
• Casey Kenyon Mahle, CPNP-PC

• All providers in Advance, NC
• Skilled Nursing Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.