Organization · Type 2 NPI

LP Louisville South LLC

Skilled Nursing Facility · Louisville, KY

NPI number 1891986170 Active

Practice location

1120 Cristland Rd
Louisville, KY 40214-4150

Call (502) 367-0104 Map

Fax (502) 368-5208

Mailing address

12201 Bluegrass Pkwy
Louisville, KY 40299-2361

Specialties and licenses

Taxonomy	Code	License
Skilled Nursing Facility Primary	314000000X	100452 (KY)

Skilled Nursing Facility: (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 r…

5 other providers at this address

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NPI record

NPI: 1891986170
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 South Louisville · doing business as
Signature Healthcare of South Louisville · 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 1891986170

LP Louisville South LLC's National Provider Identifier is 1891986170, issued on Aug 5, 2007. The primary taxonomy on file is Skilled Nursing Facility (314000000X), and the practice location is in Louisville, KY. The record was last updated on Apr 4, 2023.