# LIBERTY HEALTHCARE GROUP, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Liberty Commons Nursing & Rehabilitation Center of Springwood, LLC, Summerstone Health and Rehabilitation Center, Liberty Commons of Kernersville, LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1710244827
- **Authorized official:** JOE CALCUTT (CEO)
- **Authorized official phone:** (910) 815-3122

## Contact information

- **Practice address:** 485 VETERANS WAY, KERNERSVILLE, NC 27284-9903
- **Practice address phone:** (336) 767-2750
- **Practice address fax:** (336) 767-3862
- **Mailing address:** 44 MCNEILL PLZ, WHITEVILLE, NC 28472-8602
- **Mailing address phone:** (910) 642-0224
- **Mailing address fax:** (910) 642-8537

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | NC | Yes |
| 335E00000X | Prosthetic/Orthotic Supplier | NH0439 | NC | — |

## Other

- **Enumeration date:** 04/13/2012
- **Last updated:** 11/20/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 3405039 | — | NC |