LP Spring City LLC
Organization Active NPI Nursing Facility/Intermediate Care Facility · Spring City, TN
NPI 1013108307 · NPPES record last updated Apr 4, 2023
Key facts
- NPI
- 1013108307
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Nursing Facility/Intermediate Care Facility 313M00000X
- License
- 210 (TN)
- Legal business name
- LP SPRING CITY LLC
- Practice address
- 331 Hinch St
Spring City, TN 37381-5217 - Phone
- (423) 365-4355
- Fax
- (423) 365-5093
- NPI assigned
- Aug 5, 2007
- Organization subpart
- Yes
- Parent organization (as reported)
- LP CR HOLDINGS LLC
Authorized official
- Name
- Mr. John Harrison
- Title
- Audit & Reimbursement Analyst
- Phone
- (502) 568-7800
Facilities with the same owner 64
Practitioners 1
Affiliated clinicians 1
Medicare Care Compare: Nursing home
- Listed as
- Spring City Care and Rehabilitation Center
- Overall star rating
- ★★★☆☆ 3 of 5
- Health inspections
- ★★☆☆☆ 2 of 5
- Staffing
- ★★☆☆☆ 2 of 5
- Quality measures
- ★★★★★ 5 of 5
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Feb 16, 1988
- Medicare certification status
- Active
- Certified beds
- 138 · 76.6 residents per day on average
- Chain
- Signature Healthcare
- Abuse citation
- Cited for abuse (Care Compare abuse icon)
- Penalties (3 years)
- 1 · fines totaling $8,512
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
Skilled nursing facility certification: CCN 445209
- Legal name
- LP SPRING CITY LLC
- Doing business as
- SPRING CITY CARE & REHABILITATION CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Feb 16, 1988
- Last certification
- Mar 1, 2023
- Beds
- 138
- Ownership / control type
- Limited Liability Corporation
- Multi-facility organization
- Signature Healthcare
- Most recent change of ownership
- Nov 1, 2007
- Organization structure
- LLC · Proprietary
- Incorporated
- Nov 8, 2006 in DE
- Enrollment address
- 331 Hinch St
Spring City, TN 37381-5217 - Nursing home name
- SPRING CITY CARE AND REHABILITATION CENTER
- Affiliated entity
- SIGNATURE HEALTHCARE
All disclosed owners & managing parties 10
| Name | Role | Since | Share |
|---|---|---|---|
| Tommie Owens |
W-2 Managing Employee |
Aug 22, 2022 | |
| Ira Smedra |
5% Or Greater Indirect Ownership Interest |
Nov 1, 2007 | 12% |
| Agemo Holdings LLC |
5% Or Greater Indirect Ownership Interest | Oct 1, 2016 | 100% |
| Lpsnf II LLC |
5% Or Greater Indirect Ownership Interest | Oct 1, 2016 | 74% |
| Signature Healthcare LLC |
Other | Nov 1, 2007 | |
| John H Harrison |
Corporate Officer |
Nov 1, 2007 | |
| Wheaten LLC |
5% Or Greater Indirect Ownership Interest | Nov 1, 2007 | 5% |
| Elmer Joseph Steier III |
5% Or Greater Indirect Ownership Interest |
Nov 1, 2007 | 20% |
| LP CR Holdings LLC |
5% Or Greater Direct Ownership Interest | Nov 1, 2007 | 100% |
| Jjla LLC |
5% Or Greater Indirect Ownership Interest | Nov 1, 2007 | 20% |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20071018000635 | TN | Part a Provider - Skilled Nursing Facility | 7911093174 | Practice locations: Spring City, TN |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Facility/Intermediate Care Facility | 313M00000X | 210 | TN | Yes |
| Skilled Nursing Facility | 314000000X | 210 | TN |
Addresses
Primary practice location
331 Hinch St
Spring City, TN 37381-5217
Mailing address
331 Hinch St
Spring City, TN 37381-5217
Phone (423) 365-4355
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7440512 | Medicaid | TN | |
| 0445209 | Medicaid | TN |
Other names
- Spring City Care & Rehabilitation Center
Other providers in Spring City, TN
- Jimmy Hughes
- Independent Physical Therapy LLC
- Independent Physical Therapy LLC
- K & M Private Care
- Sandra J Kuffrey
- Angel D McDougle
- Memorial Health Partners Foundation Inc
- Janet Jones Meyer
- Matthew Joseph Miko
- Milestone Pediatric Therapy
All providers in Spring City, TN · Nursing Facility/Intermediate Care Facility in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 4, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.