LP Rogersville LLC

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

License

124 Issued in TN

Legal business name

LP ROGERSVILLE LLC

Doing business as

Signature HealthCARE of Rogersville

Practice address

109 Highway 70 N
Rogersville, TN 37857-4001

Phone

(423) 272-3099

Fax

(423) 272-6591

NPI assigned

Aug 5, 2007

Last updated

Apr 4, 2023By the provider in NPPES

Organization subpart

Yes

Parent organization

LP CR HOLDINGS LLCAs reported in NPPES

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 2

Addresses

Other identifiers 2

Other names 1

• Signature HealthCARE of Rogersville Doing business as

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1104017490. Details of each certification follow.

• CCN 445359 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 445359

Legal name

LP ROGERSVILLE LLC

Doing business as

SIGNATURE HEALTHCARE OF ROGERSVILLE

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Sep 1, 1995

Last certification

Sep 8, 2022

Beds

150

Ownership / control type

Corporation

Multi-facility organization

Signature Healthcare

Organization structure

LLCProprietary

Incorporated

Nov 8, 2006 in DE

Enrollment address

109 Highway 70 N
Rogersville, TN 37857-4001

Nursing home name

SIGNATURE HEALTHCARE OF ROGERSVILLE

Affiliated entity

SIGNATURE HEALTHCARE

Listed as

Signature Healthcare of RogersvilleCCN 445359 · All quality measures

Overall star rating

5 of 5

Health inspections

5 of 5

Staffing

3 of 5

Quality measures

5 of 5

Type

Medicare and Medicaid

Ownership

For profit - Corporation

Certified

Sep 1, 1995

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

15087.7 residents per day on average

Chain

Signature Healthcare67 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

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

CLIA laboratory certificates

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.

Facilities with the same owner 64

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

• LP Byrdstown LLC

  dba Pickett Care & Rehabilitation Center

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

  Agemo Holdings LLC, Jjla LLC, LP CR Holdings LLC, Lpsnf II LLC, Wheaten LLC

  CMS ownership
• LP Clarksville LLC

  dba Signature HealthCARE of Clarksville

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

  Jjla LLC, Wheaten LLC

  CMS ownership
• LP Cleveland LLC

  dba Signature HealthCARE of Cleveland

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

  Agemo Holdings LLC, Jjla LLC, LP CR Holdings LLC, Lpsnf II LLC, Wheaten LLC

  CMS ownership
• LP Cookeville, LLC

  dba Signature HealthCARE of Putnam County

  • Skilled Nursing Facility
  • Cookeville, TN
  • NPI 1144645870

  Jjla 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

  Agemo Holdings LLC, Jjla LLC, LP CR Holdings LLC, Lpsnf II LLC, Wheaten LLC

  CMS ownership
• LP Erin LLC

  dba Signature HealthCARE of Erin

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

  Agemo Holdings LLC, Jjla LLC, LP CR Holdings LLC, Lpsnf II LLC, Wheaten LLC

  CMS ownership
• LP Greeneville LLC

  dba Signature HealthCARE of Greeneville

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

  Agemo Holdings LLC, Jjla LLC, LP CR Holdings LLC, Lpsnf II LLC, Wheaten LLC

  CMS ownership
• LP Jamestown LLC

  dba Signature HealthCARE of Fentress County

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

  Agemo Holdings LLC, Jjla LLC, LP CR Holdings LLC, Lpsnf II LLC, Wheaten LLC

  CMS ownership
• LP Johnson City, LLC

  dba Princeton Transitional Care & Assisted Living

  • Skilled Nursing Facility
  • Johnson City, TN
  • NPI 1043798424

  Jjla LLC, Wheaten LLC

  CMS ownership
• LP Memphis LLC

  dba Signature HealthCARE of Memphis

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

  Agemo Holdings LLC, Jjla LLC, LP CR Holdings LLC, Lpsnf II LLC, Wheaten LLC

  CMS ownership
• LP Memphis V, LLC

  dba Signature HealthCARE of Primacy

  • Skilled Nursing Facility
  • Memphis, TN
  • NPI 1760898415

  Jjla LLC, Wheaten LLC

  CMS ownership
• LP Monteagle LLC

  dba Signature HealthCARE of Monteagle Rehab & Wellness Center

  • Nursing Facility/Intermediate Care Facility
  • Monteagle, TN
  • NPI 1528259561

  Agemo Holdings LLC, Jjla LLC, LP CR Holdings LLC, Lpsnf II LLC, Wheaten LLC

  CMS ownership

Practitioners 2

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.

• Alexandra Marrs Bowling, DO

  • Family Medicine Physician
  • Bristol, VA
  • NPI 1073996948
  NPD (past)
• Juanchichos T Ventura, MD

  • Family Medicine Physician
  • Hawthorne, NV
  • NPI 1205998366
  NPD (past)

Affiliated clinicians 1

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

• Alexandra Marrs Bowling, DO

  • Family Medicine Physician
  • Bristol, VA
  • NPI 1073996948

  Nursing home

  Care Compare affiliation

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": "1104017490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12201 BLUEGRASS PARKWAY",
            "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": "109 HIGHWAY 70 N",
            "city": "ROGERSVILLE",
            "state": "TN",
            "postal_code": "378574001",
            "telephone_number": "423-272-3099",
            "fax_number": "423-272-6591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LP ROGERSVILLE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LP CR HOLDINGS LLC",
        "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": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "TN",
            "license": "124",
            "primary": true
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TN",
            "license": "124",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0445359",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7440320",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Signature HealthCARE of Rogersville",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Signature HealthCARE of Rogersville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Micah David Lawson, MSN APRN PMHNP-BC
• Amy Nicole Lipe, FNP-BC
• Geraldine D Livermore, LCSW
• Andrew Long
• Looking Forward Counseling, LLC
• Keshia Beth Luster, FNP
• Reghan W Maddox, FNP
• Connie A Manz Hinkle, M.D.
• Brandt Marinelli
• Brenda A Martinez, BSW

• Nursing Facility/Intermediate Care Facility in Rogersville, TN
• Providers in Rogersville, TN by specialty
• Nursing Facility/Intermediate Care Facility in Tennessee

• 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.

Verify at the official NPI Registry.