LP Louisville Herr Lane, LLC
Organization Active NPI Skilled Nursing Facility · Louisville, KY
NPI 1043680176 · NPPES record last updated Apr 4, 2023
Key facts
- NPI
- 1043680176
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- Legal business name
- LP LOUISVILLE HERR LANE, LLC
- Practice address
- 1705 Herr LN
Louisville, KY 40222-6545 - Phone
- (502) 568-7800
- NPI assigned
- Oct 1, 2015
- Organization subpart
- Yes
- Parent organization (as reported)
- SIGNATURE HEALTH CARE, LLC
Authorized official
- Name
- Mr. John Harrison
- Title
- Cfo
- Phone
- (502) 568-7800
Corporate family (same tax ID) 1
Facilities with the same owner 67
Practitioners 1
-
Muhammad Babar, M.D.
Affiliated clinicians 1
-
Muhammad Babar, M.D.
Medicare Care Compare: Nursing home
- Listed as
- Signature Healthcare at Jefferson Place Rehab & We
- Overall star rating
- ★★★★☆ 4 of 5
- Health inspections
- ★★★☆☆ 3 of 5
- Staffing
- ★★★★☆ 4 of 5
- Quality measures
- ★★★★★ 5 of 5
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- May 18, 1992
- Medicare certification status
- Active
- Certified beds
- 96 · 87.1 residents per day on average
- Chain
- Signature Healthcare
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
Skilled nursing facility certification: CCN 185349
- Legal name
- LP LOUISVILLE HERR LANE LLC
- Doing business as
- SIGNATURE HEALTHCARE AT JEFFERSON PLACE REHAB AND WELLNESS CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF distinct part
- Participating since
- May 18, 1992
- Last certification
- Sep 18, 2021
- Beds
- 96
- Ownership / control type
- Corporation
- Multi-facility organization
- Signature Healthcare
- Organization structure
- LLC · Proprietary
- Incorporated
- Aug 20, 2015 in DE
- Enrollment address
- 1705 Herr LN
Louisville, KY 40222-6545 - Nursing home name
- SIGNATURE HEALTHCARE AT JEFFERSON PLACE REHAB & WELLNESS CENTER
- Affiliated entity
- SIGNATURE HEALTHCARE
All disclosed owners & managing parties 10
| Name | Role | Since | Share |
|---|---|---|---|
| Chante Stoner |
Operational/Managerial Control |
Aug 17, 2021 | |
| Ira Smedra |
5% Or Greater Indirect Ownership Interest |
Dec 1, 2015 | 12% |
| Asbr Holdings LLC |
5% Or Greater Indirect Ownership Interest | May 1, 2018 | 100% |
| Signature Healthcare LLC |
Other | Dec 1, 2015 | |
| SHC LP Holdings LLC |
5% Or Greater Direct Ownership Interest | Dec 1, 2015 | 100% |
| Lpsnf LLC |
5% Or Greater Indirect Ownership Interest | Dec 1, 2015 | 74% |
| John H Harrison |
Corporate Officer |
Dec 1, 2015 | |
| Wheaten LLC |
5% Or Greater Indirect Ownership Interest | Dec 1, 2015 | 5% |
| Elmer Joseph Steier III |
5% Or Greater Indirect Ownership Interest |
Dec 1, 2015 | 20% |
| Jjla LLC |
5% Or Greater Indirect Ownership Interest | Dec 1, 2015 | 20% |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20160105001601 | KY | Part a Provider - Skilled Nursing Facility | 1456653641 | Practice locations: Louisville, KY |
National Provider Directory
- Tax ID family
- Jefferson Place
- Part of
- Signature Healthcare LLC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Yes |
Addresses
Primary practice location
1705 Herr LN
Louisville, KY 40222-6545
Mailing address
12201 Bluegrass Pkwy
Louisville, KY 40299-2361
Phone (502) 568-7800
Other names
- Signature Healthcare at Jefferson Place Rehab & Wellness Center
Other providers in Louisville, KY
- Katherine E L Loyd
- Carol S Lozier
- Samantha Nichole Lozier
- LP Louisville East LLC
- LP Louisville Farnsley Road, LLC
- LP Louisville Hospital South, LLC
- LP Louisville Lynn Way, LLC
- LP Louisville Northfield LLC
- LP Louisville Quinn Drive, LLC
- LP Louisville South LLC
All providers in Louisville, KY · Skilled Nursing Facility in Kentucky
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.