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Contact Information

LIBERTY HEALTHCARE GROUP LLC
2315 HWY 242 NORTH
BENSON, NC27504
 Phone: 919-207-1717
 Fax: 919-207-1529
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

314000000X A1[8] Skilled Nursing Facility
 

Alzheimer Center /Dementia Center/Dementia Special Care Unit

311500000X
Indicates primary specialty

NPI Profile & details for LIBERTY HEALTHCARE GROUP LLC

NPI # 1669425401
LBN Legal business name LIBERTY HEALTHCARE GROUP LLC
Authorized official JOE CALCUTT - (CFO)
Entity Organization
Organization subpart 1 No
Enumeration date 05/19/2006
Last updated 01/27/2023 - About 3 years ago
Identifiers
NC License # NH0606
NC Medicaid 3415519
NC Medicaid 341613Y
NC Other 009CU BCBS
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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