LIBERTY HEALTHCARE GROUP LLC NPI 1801974555

NPI Information

NPI: 1801974555
Provider Name: LIBERTY HEALTHCARE GROUP, LLC

Doing Business As: LIBERTY HOME CARE, LLC

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

Address:
501 DOCTORS DRIVE
ELIZABETHTOWN, NC
ZIP 28337
Phone: (910) 862-8538
Get Directions

LIBERTY HEALTHCARE GROUP, LLC is a hospice care community based in Elizabethtown, NC. LIBERTY HEALTHCARE GROUP, LLC NPI is 1801974555. The provider is registered as an organization entity type.
The provider Is Doing Business As Liberty Home Care, Llc.

The provider's business location address is:

501 DOCTORS DRIVE
ELIZABETHTOWN, NC
ZIP 28337-146
Phone: (910) 862-8538
Fax: (910) 862-1570

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 34D0856170 - home health agency with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/1/2006 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		HOS2003	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	341569	MEDICARE ID-TYPE UNSPECIFIED	NORTH CAROLINA	PROVIDER NUMBER
2	3411569	MEDICAID	NORTH CAROLINA
3	007A	OTHER	NORTH CAROLINA	BLUE CROSS BLUE SHIELD

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

NPI Synchronization or Removal

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.

« Previous NPI

Next NPI »