NPIMap

Organization Active NPI

LP Pine Knot, LLC

  • Skilled Nursing Facility
  • Pine Knot, KY
National Provider Identifier
1144691569
Registry record updated Apr 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
LP PINE KNOT, LLC
Practice address
U.S. 27 and Highway 592
Pine Knot, KY 42635-0810
Phone
(606) 354-3155
Fax
(606) 354-3260
NPI assigned
Oct 12, 2015
Organization subpart
Yes
Parent organization
SIGNATURE HEALTHCARE, LLCAs reported in NPPES

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 Primary

Addresses

Primary practice location

U.S. 27 and Highway 592
Pine Knot, KY 42635-0810

Mailing address

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

Other names 1

  • Signature Healthcare of McCreary County Rehab & Wellness Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160105002392 KY Part A Provider - Skilled Nursing Facility 0941502165 Practice locations: Pine Knot, KY

Skilled nursing facility certification: CCN 185211

Legal name
LP PINE KNOT LLC
Doing business as
SIGNATURE HEALTHCARE OF MCCREARY COUNTY REHAB & WELLNESS CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Sep 4, 1990
Last certification
May 7, 2025
Beds
60
Ownership / control type
Corporation
Multi-facility organization
Signature Healthcare
Most recent change of ownership
Dec 1, 2015
Organization structure
LLCProprietary
Incorporated
Aug 20, 2015 in DE
Enrollment address
US 27 and Highway 592
Pine Knot, KY 42635-0810
Nursing home name
SIGNATURE HEALTHCARE OF MCCREARY COUNTY REHAB AND WELLNESS CENTER
Affiliated entity
SIGNATURE HEALTHCARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Signature Healthcare of McCreary County Rehab andCCN 185211 · All quality measures
Overall star rating
2 of 5
Health inspections
2 of 5
Staffing
4 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Sep 4, 1990
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
6055.2 residents per day on average
Chain
Signature Healthcare67 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Part of
Signature Healthcare LLC

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
Ira Smedra Individual 5% Or Greater Indirect Ownership InterestBoard Member Dec 1, 2015 12%
Asbr Holdings LLC Organization, Louisville, KY LLC 5% Or Greater Indirect Ownership Interest May 1, 2018 100%
Signature Healthcare LLC Organization, Louisville, KY LLC, For-profit Other Dec 1, 2015
SHC LP Holdings LLC Organization, Louisville, KY LLC, For-profit 5% Or Greater Direct Ownership Interest Dec 1, 2015 100%
Lpsnf LLC Organization, Los Angeles, CA LLC, For-profit 5% Or Greater Indirect Ownership Interest Dec 1, 2015 74%
John H Harrison Individual Corporate OfficerCfo Nov 1, 2007
Wheaten LLC Organization, Los Angeles, CA LLC 5% Or Greater Indirect Ownership Interest Dec 1, 2015 5%
Stacey Boyatt Individual W-2 Managing EmployeeAd; Apr 29, 2024
Elmer Joseph Steier III Individual 5% Or Greater Indirect Ownership InterestPresident Ceo Dec 1, 2015 20%
Jjla LLC Organization, Louisville, KY LLC, For-profit 5% Or Greater Indirect Ownership Interest Dec 1, 2015 20%

Facilities with the same owner 67

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

View all 67

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1444608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680566400000",
    "number": "1144691569",
    "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": "502-804-3734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "U.S. 27 AND HIGHWAY 592",
            "city": "PINE KNOT",
            "state": "KY",
            "postal_code": "426350810",
            "telephone_number": "606-354-3155",
            "fax_number": "606-354-3260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LP PINE KNOT, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SIGNATURE HEALTHCARE, LLC",
        "enumeration_date": "2015-10-12",
        "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": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Signature Healthcare of McCreary County Rehab & Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Signature Healthcare of McCreary County Rehab & Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pine Knot, KY

Sources for this page

Verify at the official NPI Registry.