LIBERTY HEALTHCARE GROUP LLC NPI 1548278948

NPI Information

NPI: 1548278948
Provider Name: LIBERTY HEALTHCARE GROUP, LLC

Doing Business As: LIBERTY HOME CARE AND HOSPICE

Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization
Address:
1220 21ST AVE N
MYRTLE BEACH, SC
ZIP 29577
Phone: (843) 839-2273
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LIBERTY HEALTHCARE GROUP, LLC is a hospice care community based in Myrtle Beach, SC. LIBERTY HEALTHCARE GROUP, LLC NPI is 1548278948. The provider is registered as an organization entity type.
The provider Is Doing Business As Liberty Home Care And Hospice.

The provider's business location address is:

1220 21ST AVE N
MYRTLE BEACH, SC
ZIP 29577-401
Phone: (843) 839-2273
Fax: (843) 839-2277

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 enumeration date for this NPI number is 8/3/2006 and was last updated on 4/17/2008.

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
1	251G00000X	Hospice Care, Community Based		HPC093	SOUTH 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	007A	OTHER	NORTH CAROLINA	BLUE CROSS BLUE SHIELD
2	421564	MEDICARE ID-TYPE UNSPECIFIED	SOUTH CAROLINA	PROVIDER NUMBER
3	HSP072	MEDICAID	SOUTH 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: 11/14/2023

NPI Synchronization or Removal

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