LP Marianna LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

SNF130470975 Issued in FL

Legal business name

LP MARIANNA LLC

Doing business as

Signature HealthCARE at The Courtyard

Practice address

2600 Forest Glen TRL
Marianna, FL 32446-0100

Phone

(850) 526-2000

Fax

(850) 526-3000

NPI assigned

Aug 1, 2007

Last updated

Oct 1, 2010By the provider in NPPES

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 at The Courtyard Doing business as

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

{
    "created_epoch": "1185926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285891200000",
    "number": "1174713408",
    "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": "502-568-7150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 FOREST GLEN TRL",
            "city": "MARIANNA",
            "state": "FL",
            "postal_code": "324460100",
            "telephone_number": "850-526-2000",
            "fax_number": "850-526-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LP MARIANNA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-01",
        "last_updated": "2010-10-01",
        "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": "FL",
            "license": "SNF130470975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Signature HealthCARE at The Courtyard",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Marianna Emergency Group, LLC
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• Skilled Nursing Facility in Marianna, FL
• Providers in Marianna, FL by specialty
• Skilled Nursing Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2010; 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.