LIBERTY HEALTHCARE GROUP LLC NPI 1124104757

NPI Information

NPI: 1124104757
Provider Name: LIBERTY HEALTHCARE GROUP LLC

Doing Business As: LIBERTY HOME CARE II, LLC

Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization

Address:
1317 N BRIGHTLEAF BLVD STE C
SMITHFIELD, NC
ZIP 27577
Phone: (919) 989-6792
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LIBERTY HEALTHCARE GROUP LLC is a hospice care community based in Smithfield, NC. LIBERTY HEALTHCARE GROUP LLC NPI is 1124104757. The provider is registered as an organization entity type.
The provider Is Doing Business As Liberty Home Care Ii, Llc.

The provider's business location address is:

1317 N BRIGHTLEAF BLVD STE C
SMITHFIELD, NC
ZIP 27577-267
Phone: (919) 989-6792
Fax: (919) 989-8519

The provider's authorized official is Anthony J. Zizzamia .
The authorized official title is President/executive Director and has the following contact phone number (910) 815-3122.

The CLIA number assigned to this NPI record is 34D2252479 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/27/2006 and was last updated on 5/5/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	251G00000X	Hospice Care, Community Based		HOS3069	NORTH CAROLINA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	007CH	OTHER	NORTH CAROLINA	BLUE CROSS BLUE SHIELD
2	341537	MEDICARE ID-TYPE UNSPECIFIED	NORTH CAROLINA	PROVIDER NUMBER
3	3421537	MEDICAID	NORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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