NPIMap

Organization Active NPI

LP Johnson City, LLC

Doing business as Princeton Transitional Care & Assisted Living

  • Skilled Nursing Facility
  • Johnson City, TN
National Provider Identifier
1043798424
Registry record updated Sep 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
LP JOHNSON CITY, LLC
Doing business as
Princeton Transitional Care & Assisted Living
Practice address
401 Princeton Rd
Johnson City, TN 37601-2028
Phone
(423) 232-0070
NPI assigned
Jul 30, 2018
Last updated
Sep 26, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
John Harrison
Title
Cfo
Phone
(502) 568-7800

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X
Nursing Facility/Intermediate Care Facility 313M00000X
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

401 Princeton Rd
Johnson City, TN 37601-2028

Mailing address

12201 Bluegrass Pkwy
Louisville, KY 40299-2361
Phone (502) 568-7800

Other names 1

  • Princeton Transitional Care & Assisted Living Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190402000769 TN Part A Provider - Skilled Nursing Facility 9638410616 Practice locations: Johnson City, TN

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1043798424. Details of each certification follow.

Skilled nursing facility certification: CCN 445356

Legal name
LP JOHNSON CITY, LLC
Doing business as
PRINCETON TRANSITIONAL CARE AND ASSISTED LIVING
Certification status
Active
Provider type (POS)
Nursing home – SNF (Medicare) only
Participating since
Aug 25, 1995
Last certification
May 4, 2022
Beds
47
Ownership / control type
Corporation
Multi-facility organization
Signature Healthcare
Organization structure
LLCProprietary
Incorporated
May 11, 2016 in DE
Enrollment address
401 Princeton Rd
Johnson City, TN 37601-2028
Nursing home name
PRINCETON TRANSITIONAL CARE & ASSISTED LIVING
Affiliated entity
SIGNATURE HEALTHCARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Princeton Transitional Care & Assisted LivingCCN 445356 · All quality measures
Overall star rating
5 of 5
Health inspections
5 of 5
Staffing
4 of 5
Quality measures
4 of 5
Type
Medicare
Ownership
For profit - Corporation
Certified
Aug 25, 1995
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
4742.8 residents per day on average
Chain
Signature Healthcare67 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
44D0964028LP Johnson City, LLC401 Princeton Road, Johnson City, TN 37601Certificate of waiverJul 27, 2028

National Provider Directory

National Provider Directory

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 12

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Ira Smedra Individual 5% Or Greater Indirect Ownership Interest Jul 1, 2016 12.03%
Jayson Allen Individual W-2 Managing EmployeeAdministrator Apr 17, 2023
SHC LP Holdings III, LLC Organization, Louisville, KY LLC 5% Or Greater Direct Ownership Interest Jul 1, 2016 55.5%
Spring Holdings, LLC Organization, Louisville, KY LLC 5% Or Greater Indirect Ownership Interest Jul 1, 2016 100%
Mountain States Health Alliance Organization, Johnson City, TN Corporation, Non-profit 5% Or Greater Indirect Ownership Interest Dec 3, 2018 100%
Signature Healthcare LLC Organization, Louisville, KY LLC Other May 7, 2018
Lpsnf LLC Organization, Los Angeles, CA LLC 5% Or Greater Indirect Ownership Interest Jul 1, 2016 72.9%
John H Harrison Individual Corporate OfficerAuthorized Official and Cfo Jan 24, 2005
Wheaten LLC Organization, Los Angeles, CA LLC 5% Or Greater Indirect Ownership Interest Jul 1, 2016 5.37%
Elmer Joseph Steier III Individual 5% Or Greater Indirect Ownership InterestCeo Jul 1, 2016 20.22%
Blue Ridge Medical Management Corporation Organization, Johnson City, TN Corporation 5% Or Greater Direct Ownership Interest Dec 3, 2018 44.5%
Jjla LLC Organization, Louisville, KY LLC 5% Or Greater Indirect Ownership Interest Jul 1, 2016 20.22%

Owners & managing parties with NPI records 23

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

View all 23

Facilities with the same owner 88

Facilities that share an organizational owner with 5% or greater ownership or operational control.

  • Encompass Health Rehabilitation Hospital of Kingsport LLC

    dba Encompass Health Rehabilitation Hospital of Kingsport

    • Rehabilitation Hospital
    • Kingsport, TN
    • NPI 1588637284

    Blue Ridge Medical Management Corporation, Mountain States Health Alliance

    CMS ownership
  • Laughlin Operating Group LLC

    dba Laughlin Heatlhcare Center

    • Skilled Nursing Facility
    • Greeneville, TN
    • NPI 1275328403

    Blue Ridge Medical Management Corporation

    CMS ownership
  • LP Byrdstown LLC

    dba Pickett Care & Rehabilitation Center

    • Nursing Facility/Intermediate Care Facility
    • Byrdstown, TN
    • NPI 1407047798

    Jjla LLC, Wheaten LLC

    CMS ownership
  • LP Clarksville LLC

    dba Signature HealthCARE of Clarksville

    • Nursing Facility/Intermediate Care Facility
    • Clarksville, TN
    • NPI 1891985131

    Jjla LLC, Lpsnf LLC, Spring Holdings, LLC, Wheaten LLC

    CMS ownership
  • LP Cleveland LLC

    dba Signature HealthCARE of Cleveland

    • Nursing Facility/Intermediate Care Facility
    • Cleveland, TN
    • NPI 1508057456

    Jjla LLC, Wheaten LLC

    CMS ownership
  • LP Cookeville, LLC

    dba Signature HealthCARE of Putnam County

    • Skilled Nursing Facility
    • Cookeville, TN
    • NPI 1144645870

    Jjla LLC, Lpsnf LLC, Wheaten LLC

    CMS ownership
  • LP Elizabethton LLC

    dba Signature HealthCARE of Elizabethton Rehab & Wellness Center

    • Nursing Facility/Intermediate Care Facility
    • Elizabethton, TN
    • NPI 1255521555

    Jjla LLC, Wheaten LLC

    CMS ownership
  • LP Erin LLC

    dba Signature HealthCARE of Erin

    • Nursing Facility/Intermediate Care Facility
    • Erin, TN
    • NPI 1457541872

    Jjla LLC, Wheaten LLC

    CMS ownership
  • LP Greeneville LLC

    dba Signature HealthCARE of Greeneville

    • Nursing Facility/Intermediate Care Facility
    • Greeneville, TN
    • NPI 1699966986

    Jjla LLC, Wheaten LLC

    CMS ownership
  • LP Jamestown LLC

    dba Signature HealthCARE of Fentress County

    • Nursing Facility/Intermediate Care Facility
    • Jamestown, TN
    • NPI 1174713598

    Jjla LLC, Wheaten LLC

    CMS ownership
  • LP Memphis LLC

    dba Signature HealthCARE of Memphis

    • Nursing Facility/Intermediate Care Facility
    • Memphis, TN
    • NPI 1831380120

    Jjla LLC, Wheaten LLC

    CMS ownership
  • LP Memphis V, LLC

    dba Signature HealthCARE of Primacy

    • Skilled Nursing Facility
    • Memphis, TN
    • NPI 1760898415

    Jjla LLC, Lpsnf LLC, Wheaten LLC

    CMS ownership
View all 88

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 4

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1532908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569456000000",
    "number": "1043798424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12201 BLUEGRASS PKWY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402992361",
            "telephone_number": "502-568-7800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 PRINCETON RD",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376012028",
            "telephone_number": "423-232-0070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LP JOHNSON CITY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-30",
        "last_updated": "2019-09-26",
        "status": "A",
        "authorized_official_last_name": "HARRISON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "502-568-7800"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Princeton Transitional Care & Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Johnson City, TN

Sources for this page

Verify at the official NPI Registry.