Provider Type Icon

LIBERTY HEALTHCARE GROUP LLC NPI 1528220332


NPI Information

NPI: 1528220332
Provider Name: LIBERTY HEALTHCARE GROUP LLC

Other Name: LIBERTY COMMONS NURSING & REHAB CENTER OF COLUMBUS CO

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization

CLIA Number: 34D0246089

Address:
1402 PINCKNEY ST
WHITEVILLE, NC
ZIP 28472
Phone: (910) 642-7139
Get Directions

LIBERTY HEALTHCARE GROUP LLC is an assisted living facility in Whiteville, NC. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. LIBERTY HEALTHCARE GROUP LLC NPI is 1528220332. The provider is registered as an organization entity type.
The provider Other Name Is Liberty Commons Nursing & Rehab Center Of Columbus Co.

The provider's business location address is:

1402 PINCKNEY ST
WHITEVILLE, NC
ZIP 28472-221
Phone: (910) 642-7139
Fax: (910) 642-6803

The provider's authorized official is Joe Calcutt .
The authorized official title is Ceo and has the following contact phone number (910) 815-3122.

The CLIA number assigned to this NPI record is 34D0246089 - skilled nursing facility/nursing facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/2/2008 and was last updated on 7/2/2008.


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
1310400000XAssisted Living FacilityYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.