LIBERTY COMMONS NRC OF WAKE COUNTY
NPI 1194868679
Skilled Nursing Facility in Raleigh, NC

Active since February 15, 2007
3000 HOLSTON LN, RALEIGH, NC 27610(919) 231-6045(919) 231-0943 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Liberty Commons Nrc Of Wake County NPPES

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

LIBERTY COMMONS NRC OF WAKE COUNTY (NPI 1194868679) is a healthcare organization registered as a skilled nursing facility in Raleigh, North Carolina and active in the NPI registry since February 2007. The organization lists Joe Calcutt, Cfo, as its authorized official.

NPPES Registry Identity

NPI1194868679
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameLIBERTY HEALTHCARE GROUP LLC
Location Address3000 HOLSTON LNRaleigh, NC 27610-2002
Mailing Address2334 S 41st StWilmington, NC 28403-5502 · (910) 815-3122 · Fax (910) 642-8537
Fax(919) 231-0943
Organization SubpartNo
Authorized OfficialJoe CalcuttCfo · (910) 332-1793
Enumeration DateFebruary 15, 2007
Last NPPES UpdateAugust 22, 2020
NPI 1194868679 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 · NH0268
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.

3000 HOLSTON LN, Raleigh, NC 27610

Other Names 1

Doing Business AsLiberty Commons Nrc Of Wake County

Other Identifiers 1

Medicaid3446204NC

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.

Physical Therapist
3000 HOLSTON LN
RALEIGH, NC 27610
Physical Therapist
3000 HOLSTON LN
RALEIGH, NC 27610

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1194868679, enumerated as an "organization" on February 15, 2007.

The provider is located at 3000 HOLSTON LN RALEIGH, NC 27610 and the phone number is (919) 231-6045.

Skilled Nursing Facility with taxonomy code 314000000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.