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Contact Information

LIBERTY HEALTHCARE GROUP LLC
791 BOONE STATION DR
BURLINGTON, NC27215
 Phone: 336-586-9850
 Fax: 336-586-9811
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Assisted Living Facility

310400000X
 

Adult Care Home

311ZA0620X
Indicates primary specialty

NPI Profile & details for LIBERTY HEALTHCARE GROUP LLC

NPI Number 1265575740
LBN Legal business name LIBERTY HEALTHCARE GROUP LLC
Authorized official JOE CALCUTT - (CFO)
Entity Organization
Organization subpart 1 No
Enumeration date 02/15/2007
Last updated 07/30/2018 - About 8 years ago
Identifiers
NC License # NH0588
NC Medicaid 7804967
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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