Organization · Type 2 NPI

Liberty Healthcare Group, LLC

Skilled Nursing Facility · Charlotte, NC

NPI number 1962832899 Active

Practice location

10011 Providence Rd W
Charlotte, NC 28277-1561

Call (980) 245-8500 Map

Mailing address

2334 41st St
Wilmington, NC 28403-5502

Specialties and licenses

Taxonomy	Code	License
Skilled Nursing Facility Primary	314000000X	None listed

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…

3 other providers at this address

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NPI record

NPI: 1962832899
Entity type: Organization (Type 2)
Issued: Nov 13, 2013
Last updated: Feb 15, 2024
Status: Active

Other names

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Liberty Commons NSG & Rehab CTR of Ballantyne · doing business as

Authorized official

Penny Teresa Purifoy
Executive Financial Consultant
(910) 642-0224

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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 1962832899

Liberty Healthcare Group, LLC's National Provider Identifier is 1962832899, issued on Nov 13, 2013. The primary taxonomy on file is Skilled Nursing Facility (314000000X), and the practice location is in Charlotte, NC. The record was last updated on Feb 15, 2024.