NPIMap

Organization Active NPI

LP Lexington LLC

  • Skilled Nursing Facility
  • Lexington, KY
National Provider Identifier
1073704342
Registry record updated Apr 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
100111 Issued in KY
Legal business name
LP LEXINGTON LLC
Practice address
3300 Tates Creek Rd
Lexington, KY 40502-3408
Phone
(859) 266-2126
Fax
(859) 266-5353
NPI assigned
Aug 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2023

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

Authorized official

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 100111 KY Primary

Addresses

Primary practice location

3300 Tates Creek Rd
Lexington, KY 40502-3408

Mailing address

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

Other names 1

  • Mayfair Manor Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070907000553 KY Part A Provider - Skilled Nursing Facility 6901999846 Practice locations: Lexington, KY

Skilled nursing facility certification: CCN 185069

Legal name
LP LEXINGTON LLC
Doing business as
MAYFAIR MANOR
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jun 1, 1977
Last certification
Nov 26, 2024
Beds
98
Ownership / control type
Corporation
Multi-facility organization
Signature Healthcare
Organization structure
LLCProprietary
Incorporated
Nov 8, 2006 in DE
Enrollment address
3300 Tates Creek Rd
Lexington, KY 40502-3408
Nursing home name
MAYFAIR MANOR
Affiliated entity
SIGNATURE HEALTHCARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Mayfair ManorCCN 185069
Overall star rating
1 of 5
Health inspections
1 of 5
Staffing
3 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Jun 1, 1977
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
9887.7 residents per day on average
Chain
Signature Healthcare67 facilities in the chain
Penalties (3 years)
3Fines totaling $33,602

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & 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.

NameRoleSinceShare
LP O Holdings LLC Organization, Louisville, KY LLC 5% Or Greater Direct Ownership Interest Nov 1, 2007 100%
Ira Smedra Individual 5% Or Greater Indirect Ownership InterestBoard Member Nov 1, 2007 12%
Heather Griffith Individual W-2 Managing EmployeeAdministrator Sep 15, 2020
Agemo Holdings LLC Organization, Louisville, KY LLC 5% Or Greater Indirect Ownership Interest Nov 1, 2007 100%
Lpsnf II LLC Organization, Louisville, KY LLC 5% Or Greater Indirect Ownership Interest Nov 1, 2007 74%
Signature Healthcare LLC Organization, Louisville, KY LLC Other Nov 1, 2007
John H Harrison Individual Corporate OfficerCfo Nov 1, 2007
Wheaten LLC Organization, Louisville, KY LLC 5% Or Greater Indirect Ownership Interest Nov 1, 2007 5%
Elmer Joseph Steier III Individual 5% Or Greater Indirect Ownership InterestCeo & President Nov 1, 2007 20%
Jjla LLC Organization, Louisville, KY LLC 5% Or Greater Indirect Ownership Interest Nov 1, 2007 20%

Facilities with the same owner 64

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

View all 64

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 1

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": "1186272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680566400000",
    "number": "1073704342",
    "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",
            "fax_number": "502-568-7150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 TATES CREEK RD",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405023408",
            "telephone_number": "859-266-2126",
            "fax_number": "859-266-5353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LP LEXINGTON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-05",
        "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",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "KY",
            "license": "100111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mayfair Manor",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mayfair Manor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.