Elizabethton Medical Investors LP
Organization Active NPI Skilled Nursing Facility · Elizabethton, TN
NPI 1083645014 · NPPES record last updated Jul 10, 2026
Key facts
- NPI
- 1083645014
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- License
- 26 (TN)
- Legal business name
- ELIZABETHTON MEDICAL INVESTORS LP
- Practice address
- 1641 Highway 19E
Elizabethton, TN 37643 - Phone
- (423) 542-4133
- Fax
- (423) 542-3874
- NPI assigned
- Jul 6, 2006
- Organization subpart
- No
Authorized official
- Name
- Cindy S. Cross
- Title
- Assistant Secretary
- Phone
- (423) 473-5867
Owners & managing parties with NPI records 36
-
Deepika A Tumkur, MD
Member of 1
Facilities with the same owner 193
Practitioners 3
-
Amy Christine Lawrence, D.O.
-
Deepika A Tumkur, MD
Affiliated clinicians 1
-
Deepika A Tumkur, MD
Medicare Care Compare: Nursing home
- Listed as
- Life Care Center of Elizabethton
- 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
- Active
- Certified beds
- 158 · 122.3 residents per day on average
- Chain
- Life Care Centers of America
- Penalties (3 years)
- 1 · fines totaling $10,036
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 44D0659161 | Life Care Center of Elizabethton | Certificate of waiver | Aug 31, 2026 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
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
- Partnership · Proprietary
- 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
All disclosed owners & managing parties 20
| Name | Role | Since | Share |
|---|---|---|---|
| Forrest L Preston |
5% Or Greater Indirect Ownership Interest | Aug 23, 1995 | 99.9% |
| Limited Partnership Interest |
Aug 30, 2000 | 0.1% | |
| Adp of the SNF | Oct 5, 2000 | ||
| Terry Henry |
Corporate Officer |
Aug 16, 1999 | |
| Elizabethton Medical Investors LP |
Operational/Managerial Control | Mar 1, 1990 | |
| Adp of the SNF | Oct 5, 2000 | ||
| Deepika a Tumkur |
Operational/Managerial Control | Aug 28, 2018 | |
| Adp of the SNF | Mar 31, 2025 | ||
| Todd Fletcher |
Corporate Officer |
Nov 2, 2020 | |
| HCF Inc |
Operational/Managerial Control | Aug 23, 1995 | |
| Indirect Ownership Interest | Aug 23, 1995 | 0.04% | |
| Aubrey Preston |
Operational/Managerial Control | Mar 6, 2025 | |
| |
Indirect Ownership Interest | Aug 23, 1995 | 0.05% |
| Consolidated Resources Health Care Fund I LP |
General Partnership Interest | Aug 23, 1995 | 99.9% |
| Operational/Managerial Control | Sep 23, 1983 | ||
| Adp of the SNF | Oct 5, 2000 | ||
| Joan E Thurmond |
Corporate Officer |
Sep 22, 2000 | |
| Brandy Grindstaff |
Operational/Managerial Control | Nov 16, 2020 | |
| Managing Control - Governing Body |
Nov 16, 2020 | ||
| Adp of the SNF | Mar 20, 2025 | ||
| Cindy S Cross |
Corporate Officer |
Aug 23, 1995 | |
| Richard Swanker |
Corporate Officer |
Apr 1, 2011 | |
| Life Care Centers of America, Inc. |
Operational/Managerial Control | Feb 5, 1990 | 100% |
| Adp of the SNF | Mar 20, 2025 | ||
| Fund I Investments Limited Partnership |
5% Or Greater Indirect Ownership Interest | Aug 23, 1995 | 95.83% |
| Adp of the SNF | Oct 5, 2000 | ||
| Melissa Foster Archer |
Operational/Managerial Control | Nov 10, 2024 | |
| Managing Control - Governing Body |
Nov 10, 2024 | ||
| Lisa M Lay |
Corporate Officer |
Feb 9, 2018 | |
| |
Adp of the SNF | Oct 5, 2000 | |
| James Ziegler |
Corporate Officer |
Aug 16, 1999 | |
| Jennifer Solomon |
Operational/Managerial Control | May 1, 2019 | |
| Managing Control - Governing Body |
May 1, 2019 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040825000744 | TN | Part a Provider - Skilled Nursing Facility | 0749254696 | Practice locations: Elizabethton, TN |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 26 | TN | Yes |
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 identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7440403 | Medicaid | TN |
Other names
- Life Care Center of Elizabethton
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other | Ability Network |
Other providers in Elizabethton, TN
- Kendal Fox Eden
- Rebekah Christine Edens
- Lane Evan Edmonds
- Katrina D Edwards
- Elizabethton Chiropractic, LLC
- Elizabethton Surgery Center, LLC
- Elizabethton Vision and Contact Lens Center Inc
- Glenn E Elliott
- Kianna Sue Elliott
- Patricia Ellis
All providers in Elizabethton, TN · Skilled Nursing Facility in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 10, 2026. 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.