National Provider Identifier Database

LIBERTY HEALTHCARE GROUP LLC
Assisted Living Facility

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.


Contact Information

LIBERTY HEALTHCARE GROUP LLC
791 BOONE STATION DR
BURLINGTON, NC27215
Phone: 336-586-9850
Fax: 336-586-9811
Website:
Specialty Taxonomy Code
* Assisted Living Facility 310400000X
Adult Care Home 311ZA0620X

* Indicates primary specialty

NPI Profile & details for LIBERTY HEALTHCARE GROUP LLC

NPI Number 1265575740
Legal business name
LBN
LIBERTY HEALTHCARE GROUP LLC
Authorized official JOE CALCUTT - (CFO)
Entity Organization
Organization subpart No
Enumeration date 02/15/2007
Last updated 07/30/2018 - About 8 years ago
Sole proprietor1 Not specified
Identifiers
  • NC License #: NH0588
  • NC Medicaid: 7804967

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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