LIBERTY COMMONS NRC OF COLUMBUS COUNTY
NPI 1073656716
Skilled Nursing Facility in Whiteville, NC

Active since February 14, 2007CLIA 34D0246089 · Waiver
1402 PINCKNEY ST, WHITEVILLE, NC 28472(910) 642-7139(910) 642-7187 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Liberty Commons Nrc Of Columbus County NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LIBERTY COMMONS NRC OF COLUMBUS COUNTY (NPI 1073656716) is a healthcare organization registered as a skilled nursing facility in Whiteville, North Carolina and active in the NPI registry since February 2007. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Joe Calcutt, Cfo, as its authorized official.

NPPES Registry Identity

NPI1073656716
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameLIBERTY HEALTHCARE GROUP LLC
Location Address1402 PINCKNEY STWhiteville, NC 28472-2221
Mailing Address2334 S 41st St, Liberty Healthcare Management, IncWilmington, NC 28403-5502 · (910) 815-3122 · Fax (910) 642-8537
Fax(910) 642-7187
Organization SubpartNo
Authorized OfficialJoe CalcuttCfo · (910) 332-1793
Enumeration DateFebruary 14, 2007
Last NPPES UpdateAugust 22, 2020
NPI 1073656716 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License Licensed in NC · NH0283
Definition

(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 reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.

1402 PINCKNEY ST, Whiteville, NC 28472

Other Names 1

Doing Business AsLiberty Commons Nrc Of Columbus County

Other Identifiers 1

Medicaid3416217NC

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 34D0246089

Liberty Commons Nrsg & Rehab Ctr Of Columbus County · Whiteville, NC
Active · expires Aug 31, 2026
CLIA Number34D0246089
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorCrystal Hagood
Laboratory Phone(910) 642-7139
Laboratory LocationLiberty Commons Nrsg & Rehab Ctr Of Columbus County1402 Pinckney St, Whiteville, NC 28472
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapy Assistant
1402 PINCKNEY ST
WHITEVILLE, NC 28472
Physical Therapy Assistant
1402 PINCKNEY ST
WHITEVILLE, NC 28472
Assisted Living Facility
1402 PINCKNEY ST
WHITEVILLE, NC 28472
Physician Assistant (Medical)
1402 PINCKNEY ST
WHITEVILLE, NC 28472

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Liberty Healthcare Group LLC's NPI number?

The NPI number for Liberty Healthcare Group LLC is 1073656716. It was assigned to this organization in the NPPES registry on February 14, 2007. The provider is doing business as Liberty Commons Nrc Of Columbus County.

Where is Liberty Healthcare Group LLC located?

Liberty Healthcare Group LLC is located at 1402 Pinckney St, Whiteville, NC 28472. The listed phone number is (910) 642-7139.

What is Liberty Healthcare Group LLC's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Does Liberty Healthcare Group LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D0246089) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Liberty Healthcare Group LLC was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.