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LIBERTY HOME CARE, LLC
NPI 1104995745
Hospice Care, Community Based in Jacksonville, NC

Active since November 07, 2006CLIA 34D0856831 · Waiver
1700 COUNTRY CLUB RD, JACKSONVILLE, NC 28546(910) 346-4800(910) 346-5870 Get Directions Write a Review

NPPES record last updated: May 5, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Liberty Home Care, Llc NPPES

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

LIBERTY HOME CARE, LLC (NPI 1104995745) is a healthcare organization registered as a hospice care, community based in Jacksonville, North Carolina and active in the NPI registry since November 2006. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Anthony J. Zizzamia, President/executive Director, as its authorized official.

NPPES Registry Identity

NPI1104995745
Entity TypeOrganization
Primary Taxonomy251G00000X
Legal Business NameLIBERTY HEALTHCARE GROUP LLC
Location Address1700 COUNTRY CLUB RDJacksonville, NC 28546-6004
Mailing Address2334 S 41st StWilmington, NC 28403-5502 · (910) 815-3122 · Fax (910) 815-3111
Phone(910) 346-4800
Fax(910) 346-5870
Organization SubpartNo
Authorized OfficialAnthony J. ZizzamiaPresident/executive Director · (910) 815-3122
Enumeration DateNovember 7, 2006
Last NPPES UpdateMay 5, 2010
✔ NPI 1104995745 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHospice Care, Community BasedAgencies
Taxonomy Code251G00000X
License✔ Licensed in NC · HOS2005
1700 COUNTRY CLUB RD, Jacksonville, NC 28546
Open in Google Maps ↗

Other Names 1

Doing Business AsLiberty Home Care, Llc

Other Identifiers 3

Medicare ID-Type Unspecified341569NC · Provider Number
Medicaid3411569NC
Other007ANC · Blue Cross Blue Shield

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 34D0856831

Liberty Home Care, LLC - Jacksonville · Jacksonville, NC
Active · expires Aug 31, 2026
CLIA Number34D0856831
Laboratory TypeHome Health Agency
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorSami Taglieri
Laboratory Phone(910) 346-4800
Laboratory LocationLiberty Home Care, LLC - Jacksonville445 Western Boulevard, Suite E, Jacksonville, NC 28546
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

LIBERTY NURSING SERVICES, LLC
Nursing Care
1700 COUNTRY CLUB RD
JACKSONVILLE, NC 28546
Onslow County (910) 346-4800
LIBERTY HEALTHCARE GROUP, LLC
Home Health
1700 COUNTRY CLUB RD
JACKSONVILLE, NC 28546
Onslow County (910) 346-4800

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 1104995745. It was assigned to this organization in the NPPES registry on November 7, 2006. The provider is doing business as Liberty Home Care, LLC.

Where is Liberty Healthcare Group LLC located?

Liberty Healthcare Group LLC is located at 1700 Country Club Rd, Jacksonville, NC 28546. The listed phone number is (910) 346-4800.

What is Liberty Healthcare Group LLC's specialty?

The primary specialty registered for this NPI is Hospice Care, Community Based with taxonomy code 251G00000X.

Does Liberty Healthcare Group LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D0856831) 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 May 5, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.