Liberty Healthcare Group, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

LIBERTY HEALTHCARE GROUP, LLC

Practice address

10011 Providence Rd W
Charlotte, NC 28277-1561

Phone

(980) 245-8500

NPI assigned

Nov 13, 2013

Organization subpart

No

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

Authorized official

Name

Penny Teresa Purifoy

Title

Executive Financial Consultant

Phone

(910) 642-0224

Specialties & licenses 1

Addresses

Other names 1

• Liberty Commons Nsg & Rehab Ctr of Ballantyne Doing business as

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Skilled nursing facility certification: CCN 345563

Legal name

LIBERTY HEALTHCARE GROUP LLC

Doing business as

LIBERTY COMMONS NURSING & REHABILITATION CENTER OF BALLANTYNE, LLC

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Mar 20, 2014

Last certification

Mar 26, 2024

Beds

108

Ownership / control type

Limited Liability Corporation

Multi-facility organization

Liberty Healthcare

Organization structure

LLCProprietary

Incorporated

Mar 10, 2011 in NC

Enrollment address

10011 Providence W Rd
Charlotte, NC 28277-1561

Nursing home name

PAVILION HEALTH CENTER AT BRIGHTMORE

Affiliated entity

LIBERTY SENIOR LIVING

Listed as

Pavilion Health Center at BrightmoreCCN 345563

Overall star rating

2 of 5

Health inspections

2 of 5

Staffing

3 of 5

Quality measures

3 of 5

Type

Medicare and Medicaid

Ownership

For profit - Limited Liability company

Certified

Mar 20, 2014

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

108102.5 residents per day on average

Chain

Liberty Senior Living37 facilities in the chain

Penalties (3 years)

2Fines totaling $103,435

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 17

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
  • 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

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

  • Skilled Nursing Facility
  • Advance, NC
  • NPI 1891908687
  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
  • Whiteville, NC
  • NPI 1972050276
  NPD tax ID
• Liberty Healthcare Group, LLC

  • Home Health Agency
  • Siler City, NC
  • NPI 1982659215
  NPD tax ID
• Liberty Healthcare Group, LLC

  • Community Based Hospice Care Agency
  • Wadesboro, NC
  • NPI 1982774394
  NPD tax ID
• Liberty Nursing Services II, LLC

  • Nursing Care Agency
  • Raeford, NC
  • NPI 1851428650
  NPD tax ID

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.

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 16

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

• Liberty Healthcare Group LLC

  • Skilled Nursing Facility
  • Clinton, NC
  • NPI 1043263981

  Long Term Care Management Services LLC

  CMS ownership
• Liberty Healthcare Group LLC

  • Assisted Living Facility
  • Weldon, NC
  • NPI 1164476636

  Long Term Care Management Services LLC

  CMS ownership
• Liberty Healthcare Group LLC

  • Skilled Nursing Facility
  • Burlington, NC
  • NPI 1326089616

  Long Term Care Management Services LLC

  CMS ownership
• Liberty Healthcare Group LLC

  • Skilled Nursing Facility
  • Matthews, NC
  • NPI 1336193754

  Long Term Care Management Services LLC

  CMS ownership
• Liberty Healthcare Group LLC

  • Skilled Nursing Facility
  • Whiteville, NC
  • NPI 1538113014

  Long Term Care Management Services LLC

  CMS ownership
• Liberty Healthcare Group LLC

  • Skilled Nursing Facility
  • Southport, NC
  • NPI 1548770423

  Long Term Care Management Services LLC

  CMS ownership
• Liberty Healthcare Group LLC

  • Skilled Nursing Facility
  • Sanford, NC
  • NPI 1891740544

  Long Term Care Management Services LLC

  CMS ownership
• Liberty Healthcare Group, LLC

  • Skilled Nursing Facility
  • Chapel Hill, NC
  • NPI 1033611959

  Long Term Care Management Services LLC

  CMS ownership
• Liberty Healthcare Group, LLC

  • Skilled Nursing Facility
  • Louisburg, NC
  • NPI 1043865538

  Long Term Care Management Services LLC

  CMS ownership
• Liberty Healthcare Group, LLC

  • Skilled Nursing Facility
  • Candler, NC
  • NPI 1073034138

  Long Term Care Management Services LLC

  CMS ownership
• Liberty Healthcare Group, LLC

  • Skilled Nursing Facility
  • Roxboro, NC
  • NPI 1104471531

  Long Term Care Management Services LLC

  CMS ownership
• Liberty Healthcare Group, LLC

  • Skilled Nursing Facility
  • Yadkinville, NC
  • NPI 1174178313

  Long Term Care Management Services LLC

  CMS ownership

Practitioners 1

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

• William Long, M.D.

  • Family Medicine Physician
  • Charlotte, NC
  • NPI 1992778906
  NPD (past)

Affiliated clinicians 1

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

• William Long, M.D.

  • Family Medicine Physician
  • Charlotte, NC
  • NPI 1992778906

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1384300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707955200000",
    "number": "1962832899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2334 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": "10011 PROVIDENCE RD W",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282771561",
            "telephone_number": "980-245-8500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERTY HEALTHCARE GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-13",
        "last_updated": "2024-02-15",
        "certification_date": "2024-02-15",
        "status": "A",
        "authorized_official_last_name": "PURIFOY",
        "authorized_official_first_name": "PENNY",
        "authorized_official_middle_name": "TERESA",
        "authorized_official_title_or_position": "EXECUTIVE FINANCIAL CONSULTANT",
        "authorized_official_telephone_number": "910-642-0224"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Liberty Commons Nsg & Rehab Ctr of Ballantyne",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mark J. Liang, M.D.
• Shixiong Liao, M.D.
• Darrielle Libby
• Liberty Healthcare Group LLC
• Liberty Healthcare Group, LLC
• Liberty Home Care II, LLC
• Liberty Independent Living
• Liberty Nursing Services II, LLC
• Joyce Anne Libethe, PH.D.
• Eileen Cheryl Libove

• All providers in Charlotte, 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 15, 2024; 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.