NPIMap

Organization Active NPI

Elizabethton Medical Investors LP

Doing business as Life Care Center of Elizabethton

  • Skilled Nursing Facility
  • Elizabethton, TN
National Provider Identifier
1083645014
Registry record updated Jul 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
26 Issued in TN
Legal business name
ELIZABETHTON MEDICAL INVESTORS LP
Doing business as
Life Care Center of Elizabethton
Practice address
1641 Highway 19E
Elizabethton, TN 37643
Phone
(423) 542-4133
Fax
(423) 542-3874
NPI assigned
Jul 6, 2006
Last updated
Jul 10, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2026

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

Authorized official

Name
Cindy S. Cross
Title
Assistant Secretary
Phone
(423) 473-5867

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 26 TN Primary

Addresses

Primary practice location

1641 Highway 19E
Elizabethton, TN 37643

Mailing address

3001 Keith St NW
Cleveland, TN 37312-3713
Phone (423) 473-5751

Other names 1

  • Life Care Center of Elizabethton Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Ability Network

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040825000744 TN Part A Provider - Skilled Nursing Facility 0749254696 Practice locations: Elizabethton, TN

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1083645014. Details of each certification follow.

Skilled nursing facility certification: CCN 445302

Legal name
ELIZABETHTON MEDICAL INVESTORS LP
Doing business as
LIFE CARE CENTER OF ELIZABETHTON
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jan 15, 1993
Last certification
Nov 14, 2023
Beds
158
Ownership / control type
Corporation
Multi-facility organization
Life Care Centers of America, Inc
Organization structure
PartnershipProprietary
Enrollment address
1641 Highway 19E Byp
Elizabethton, TN 37643-4646
Nursing home name
LIFE CARE CENTER OF ELIZABETHTON
Affiliated entity
LIFE CARE CENTERS OF AMERICA

Care Compare: Nursing home

Medicare Care Compare
Listed as
Life Care Center of ElizabethtonCCN 445302 · All quality measures
Overall star rating
3 of 5
Health inspections
3 of 5
Staffing
2 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Jan 15, 1993
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
158122.3 residents per day on average
Chain
Life Care Centers of America194 facilities in the chain
Penalties (3 years)
1Fines totaling $10,036

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
44D0659161Life Care Center of Elizabethton1641 Highway 19E, Elizabethton, TN 37643Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Member of 1

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

Ownership & related parties

All disclosed owners & managing parties 20

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

NameRoleSinceShare
Forrest L Preston Individual 5% Or Greater Indirect Ownership Interest Aug 23, 1995 99.9%
Limited Partnership InterestPartner Aug 30, 2000 0.1%
Adp of the SNF Oct 5, 2000
Terry Henry Individual Corporate OfficerAsst. Treasurer of Management Co. Aug 16, 1999
Elizabethton Medical Investors LP Organization, Cleveland, TN For-profit Operational/Managerial Control Mar 1, 1990
Adp of the SNF Oct 5, 2000
Deepika a Tumkur Individual Operational/Managerial Control Aug 28, 2018
Adp of the SNF Mar 31, 2025
Todd Fletcher Individual Corporate OfficerPresident of Management Company Nov 2, 2020
HCF Inc Organization, Cleveland, TN Corporation, For-profit Operational/Managerial Control Aug 23, 1995
Indirect Ownership Interest Aug 23, 1995 0.04%
Aubrey Preston Individual Operational/Managerial Control Mar 6, 2025
Organization, Cleveland, TN Corporation, For-profit, Owned by another organization or individual Indirect Ownership Interest Aug 23, 1995 0.05%
Consolidated Resources Health Care Fund I LP Organization, Cleveland, TN For-profit General Partnership Interest Aug 23, 1995 99.9%
Operational/Managerial Control Sep 23, 1983
Adp of the SNF Oct 5, 2000
Joan E Thurmond Individual Corporate OfficerAsst Secretary of Management Co. Sep 22, 2000
Brandy Grindstaff Individual Operational/Managerial Control Nov 16, 2020
Managing Control - Governing BodyAdministrator Nov 16, 2020
Adp of the SNF Mar 20, 2025
Cindy S Cross Individual Corporate OfficerVP/Asst Secretary of Management Co. Aug 23, 1995
Richard Swanker Individual Corporate OfficerChief Tax Officer of Management Co. Apr 1, 2011
Life Care Centers of America, Inc. Organization, Cleveland, TN Corporation, Management services company, For-profit, Chain home office Operational/Managerial Control Feb 5, 1990 100%
Adp of the SNF Mar 20, 2025
Fund I Investments Limited Partnership Organization, Cleveland, TN For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Aug 23, 1995 95.83%
Adp of the SNF Oct 5, 2000
Melissa Foster Archer Individual Operational/Managerial Control Nov 10, 2024
Managing Control - Governing BodyDirector of Nursing Nov 10, 2024
Lisa M Lay Individual Corporate OfficerSecretary of Management Company Feb 9, 2018
Organization, Cleveland, TN LLC, For-profit Adp of the SNF Oct 5, 2000
James Ziegler Individual Corporate OfficerVP/Treasurer of Managment Company Aug 16, 1999
Jennifer Solomon Individual Operational/Managerial Control May 1, 2019
Managing Control - Governing BodyDivisional Vice President May 1, 2019

Owners & managing parties with NPI records 36

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

View all 36

Facilities with the same owner 193

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

View all 193

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 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": "1152144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783641600000",
    "number": "1083645014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 KEITH ST NW",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373123713",
            "telephone_number": "423-473-5751",
            "fax_number": "423-339-8342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1641 HIGHWAY 19E",
            "city": "ELIZABETHTON",
            "state": "TN",
            "postal_code": "37643",
            "telephone_number": "423-542-4133",
            "fax_number": "423-542-3874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELIZABETHTON MEDICAL INVESTORS LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-06",
        "last_updated": "2026-07-10",
        "certification_date": "2026-07-10",
        "status": "A",
        "authorized_official_last_name": "CROSS",
        "authorized_official_first_name": "CINDY",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "ASSISTANT SECRETARY",
        "authorized_official_telephone_number": "423-473-5867"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TN",
            "license": "26",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "Ability Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "284 Merchant St",
            "city": "Ste Genevieve",
            "state": "MO",
            "country_code": "US",
            "postal_code": "636701610",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Life Care Center of Elizabethton",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Elizabethton, TN

Sources for this page

Verify at the official NPI Registry.