Active NPI
LP Washington CH, LLC
Doing business as Signature HealthCARE of Fayette County
- Skilled Nursing Facility
- Washington Court House, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- LP WASHINGTON CH, LLC
- Doing business as
- Signature HealthCARE of Fayette County
- Practice address
- 375 Glenn Ave
Washington Court House, OH 43160-1713 - Phone
- (740) 335-9270
- NPI assigned
- Aug 27, 2013
- Organization subpart
- No
NPPES NPI Registry
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | OH | Primary |
Addresses
Primary practice location
375 Glenn Ave
Washington Court House, OH 43160-1713
Mailing address
375 Glenn Ave
Washington Court House, OH 43160-1713
Phone (740) 335-9270
Other names 1
- Signature HealthCARE of Fayette County
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20131025000059 | OH | Part A Provider - Skilled Nursing Facility | 5991930158 | Practice locations: Washington Court House, OH |
Skilled nursing facility certification: CCN 365679
- Legal name
- LP WASHINGTON CH LLC
- Doing business as
- SIGNATURE HEALTHCARE OF FAYETTE COUNTY
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Jan 1, 1986
- Last certification
- Oct 12, 2022
- Beds
- 92
- Ownership / control type
- Corporation
- Most recent change of ownership
- Dec 1, 2024
- Organization structure
- LLC
- Incorporated
- Aug 13, 2013 in DE
- Enrollment address
- 375 S Glenn Ave
Washington Court House, OH 43160-1713
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Cedarvale Commons Rehabilitation and Healthcare Ce
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Jan 1, 1986
- Medicare certification status
- Active
- Certified beds
- 92
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 10
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Josephine Minta | W-2 Managing Employee | Apr 1, 2022 | |
| Ira Smedra | 5% Or Greater Indirect Ownership Interest | Dec 1, 2013 | 12% |
| Asbr Holdings LLC | 5% Or Greater Indirect Ownership Interest | May 1, 2018 | 100% |
| Signature Healthcare LLC | 5% Or Greater Indirect Ownership Interest | Dec 1, 2013 | 100% |
| SHC LP Holdings LLC | 5% Or Greater Direct Ownership Interest | Dec 1, 2013 | 100% |
| Lpsnf LLC | 5% Or Greater Indirect Ownership Interest | Dec 1, 2013 | 74% |
| John H Harrison | Corporate Officer | Nov 1, 2013 | |
| Wheaten LLC | 5% Or Greater Indirect Ownership Interest | Dec 1, 2013 | 5% |
| Elmer Joseph Steier III | 5% Or Greater Indirect Ownership Interest | Dec 1, 2013 | 20% |
| Jjla LLC | 5% Or Greater Indirect Ownership Interest | Dec 1, 2013 | 20% |
Facilities with the same owner 67
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
dba Signature HealthCARE of Galion
- Skilled Nursing Facility
- Galion, OH
- NPI 1992139950
Asbr Holdings LLC, Jjla LLC, Lpsnf LLC, SHC LP Holdings LLC, Signature Healthcare LLC, Wheaten LLC
-
dba Signature HealthCARE of Terre Haute
- Skilled Nursing Facility
- Terre Haute, IN
- NPI 1083955124
Asbr Holdings LLC
-
dba Signature Healthcare of Bremen
- Skilled Nursing Facility
- Bremen, IN
- NPI 1275959751
Asbr Holdings LLC
-
dba Signature HealthCARE of Muncie
- Skilled Nursing Facility
- Muncie, IN
- NPI 1801137948
Asbr Holdings LLC
-
dba Clinton County Care & Rehabilitation Center
- Skilled Nursing Facility
- Albany, KY
- NPI 1437340700
Jjla LLC, Wheaten LLC
-
dba Signature Healthcare at Jackson Manor Rehab & Wellness Center
- Skilled Nursing Facility
- Annville, KY
- NPI 1760853725
Asbr Holdings LLC, Jjla LLC, Lpsnf LLC, SHC LP Holdings LLC, Wheaten LLC
-
dba Signature Healthcare at Colonial Rehab & Wellness Center
- Skilled Nursing Facility
- Bardstown, KY
- NPI 1548631070
Asbr Holdings LLC, Jjla LLC, Lpsnf LLC, SHC LP Holdings LLC, Wheaten LLC
-
dba Lee County Care & Rehabilitation Center
- Skilled Nursing Facility
- Beattyville, KY
- NPI 1255522520
Jjla LLC, Signature Healthcare LLC, Wheaten LLC
-
dba Signature HealthCARE of Bowling Green
- Skilled Nursing Facility
- Bowling Green, KY
- NPI 1447674437
Asbr Holdings LLC, Jjla LLC, Lpsnf LLC, SHC LP Holdings LLC, Wheaten LLC
-
dba Rockcastle Health and Rehabilitation Center
- Skilled Nursing Facility
- Brodhead, KY
- NPI 1609053735
Jjla LLC, Lpsnf LLC, Wheaten LLC
-
dba Pickett Care & Rehabilitation Center
- Nursing Facility/Intermediate Care Facility
- Byrdstown, TN
- NPI 1407047798
Jjla LLC, Signature Healthcare LLC, Wheaten LLC
-
dba Riverside Care & Rehabilitation Center
- Skilled Nursing Facility
- Calhoun, KY
- NPI 1932523602
Asbr Holdings LLC, Jjla LLC, Lpsnf LLC, SHC LP Holdings LLC, Wheaten LLC
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Physician
- Washington Court House, OH
- NPI 1609827740
-
- Family Medicine Physician
- Hilliard, OH
- NPI 1053707893
-
- General Practice Physician
- Chapel Hill, NC
- NPI 1134784937
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1377561600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1680566400000",
"number": "1063846020",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "375 GLENN AVE",
"city": "WASHINGTON COURT HOUSE",
"state": "OH",
"postal_code": "431601713",
"telephone_number": "740-335-9270"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "375 GLENN AVE",
"city": "WASHINGTON COURT HOUSE",
"state": "OH",
"postal_code": "431601713",
"telephone_number": "740-335-9270"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LP WASHINGTON CH, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-08-27",
"last_updated": "2023-04-04",
"certification_date": "2023-04-04",
"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": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "OH",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Signature HealthCARE of Fayette County",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Signature HealthCARE of Fayette County",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Washington Court House, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.