LP Marietta LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

LP MARIETTA LLC

Doing business as

Signature HealthCARE of Marietta

Practice address

811 Kennesaw Ave NW
Marietta, GA 30060-1002

Phone

(770) 422-2451

Fax

(770) 499-2235

NPI assigned

Aug 5, 2007

Organization subpart

No

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

Addresses

Other names 1

• Signature HealthCARE of Marietta Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1186272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363651200000",
    "number": "1114118288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "811 KENNESAW AVE NW",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300601002",
            "telephone_number": "770-422-2451",
            "fax_number": "770-499-2235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 KENNESAW AVE NW",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300601002",
            "telephone_number": "770-422-2451",
            "fax_number": "770-499-2235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LP MARIETTA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-05",
        "last_updated": "2013-03-19",
        "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": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Signature HealthCARE of Marietta",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Barbara Katherine Lowry, M.S., LPC
• Andrea Marie Loyd, RPH
• Jodi Lozano
• Lynette Marie Lozano, M.S. OTR/L
• LP Marietta II, LLC (Signature HealthCARE at Tower Road)
• LSQR, LLC (2nd Family)
• Lte's Talk Speech Language Services
• Jerome Lubbe, DC
• Nanci Lubell
• Tina Charlette Lucas-Glass, M.D.

• Skilled Nursing Facility in Marietta, GA
• Providers in Marietta, GA by specialty
• Skilled Nursing Facility in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.