Liberty Healthcare Group LLC
NPI 1548770423 · Skilled Nursing Facility · Southport, NC
Enrolled with Medicare as Part a Provider - Skilled Nursing Facility · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Liberty Healthcare Group LLC is a Skilled Nursing Facility organization in Southport, NC (NPI 1548770423).
Provider details
- NPI number
- 1548770423
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Joseph Calcutt, Cfo(910) 815-3122
Specialties & taxonomies
Nursing & Custodial Care Facilities
- Assisted Living Facility310400000X
Nursing & Custodial Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Liberty Commons Nursing & Rehabilitation Center of Southport, LLC
Registry dates
- Enumerated
- 2017-10-05
- Last updated
- 2022-08-11
- Certified
- 2022-08-11
Frequently asked questions
- What is Liberty Healthcare Group LLC's NPI number?
- Liberty Healthcare Group LLC's National Provider Identifier (NPI) is 1548770423, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Liberty Healthcare Group LLC?
- Liberty Healthcare Group LLC is classified in the NPPES registry as Skilled Nursing Facility (Nursing & Custodial Care Facilities).
- Where is Liberty Healthcare Group LLC located?
- Liberty Healthcare Group LLC's practice location on file with NPPES is 630 N Fodale Ave, Southport, NC 28461.
- What is Liberty Healthcare Group LLC's phone number?
- The practice phone number listed in the NPPES registry for Liberty Healthcare Group LLC is (910) 457-9581.
- Does Liberty Healthcare Group LLC accept Medicare?
- Liberty Healthcare Group LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Liberty Healthcare Group LLC?
- The authorized official listed on Liberty Healthcare Group LLC's NPPES record is Joseph Calcutt, Cfo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Liberty Healthcare Group LLC's NPI active?
- Yes — Liberty Healthcare Group LLC's NPI (1548770423) is active in the NPPES registry as of the last update on 2022-08-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.