Organization · Type 2 NPI

LP Rogersville LLC

Nursing Facility/Intermediate Care Facility · Rogersville, TN

NPI number 1104017490 Active

Practice location

109 Highway 70 N
Rogersville, TN 37857-4001

Call (423) 272-3099 Map

Fax (423) 272-6591

Mailing address

12201 Bluegrass Parkway
Louisville, KY 40299-2361

Specialties and licenses

Taxonomy	Code	License
Nursing Facility/Intermediate Care Facility Primary	313M00000X	124 (TN)
Skilled Nursing Facility	314000000X	124 (TN)

Nursing Facility/Intermediate Care Facility: An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical conditi…

7 other providers at this address

NPI record

NPI: 1104017490
Entity type: Organization (Type 2)
Issued: Aug 5, 2007
Last updated: Apr 4, 2023
Status: Active
Subpart: Yes of LP CR Holdings LLC

Other names

<unavail>
Signature Healthcare of Rogersville · doing business as
Signature Healthcare of Rogersville · doing business as

Authorized official

Mr. John Harrison
CFO
(502) 568-7800

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1104017490

LP Rogersville LLC's National Provider Identifier is 1104017490, issued on Aug 5, 2007. The primary taxonomy on file is Nursing Facility/Intermediate Care Facility (313M00000X), and the practice location is in Rogersville, TN. The record was last updated on Apr 4, 2023.