Organization · Type 2 NPI

Liberty Healthcare Group LLC

Skilled Nursing Facility · Whiteville, NC

NPI number 1538113014 Active

Practice location

1402 Pinckney Street
Whiteville, NC 28472

Call (910) 642-4245 Map

Fax (910) 642-7187

Mailing address

2334 South 41st Street, Liberty Healthcare Management Inc
Wilmington, NC 28403

Specialties and licenses

Taxonomy	Code	License
Alzheimer Center (Dementia Center)	311500000X	None listed
Skilled Nursing Facility Primary	314000000X	NH0283 (NC)
Prosthetic/Orthotic Supplier	335E00000X	NH0283 (NC)

Skilled Nursing Facility: (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to r…

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NPI record

NPI: 1538113014
Entity type: Organization (Type 2)
Issued: May 20, 2006
Last updated: Jan 27, 2023
Status: Active

Other names

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Liberty Commons Nursing and Rehabilitation Center of Columbus County · doing business as
Liberty Commons Nursing and Rehabilitation Center of Columbus County · doing business as

Authorized official

Mr. Joe Calcutt
CFO
(910) 332-1793

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1538113014

Liberty Healthcare Group LLC's National Provider Identifier is 1538113014, issued on May 20, 2006. The primary taxonomy on file is Skilled Nursing Facility (314000000X), and the practice location is in Whiteville, NC. The record was last updated on Jan 27, 2023.