LP Harrodsburg, LLC
Organization Active NPI Skilled Nursing Facility · Harrodsburg, KY
NPI 1184048852 · NPPES record last updated Apr 3, 2023
Key facts
- NPI
- 1184048852
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- Legal business name
- LP HARRODSBURG, LLC
- Practice address
- 853 Lexington Rd
Harrodsburg, KY 40330-1260 - Phone
- (859) 734-7791
- Fax
- (859) 734-5679
- NPI assigned
- Feb 14, 2014
- Organization subpart
- Yes
- Parent organization (as reported)
- SIGNATURE HEALTHCARE, LLC
Authorized official
- Name
- Mr. John Harrison
- Title
- Cfo
- Phone
- (502) 568-7800
Facilities with the same owner 67
Practitioners 1
Affiliated clinicians 1
Medicare Care Compare: Nursing home
- Listed as
- Harrodsburg Health & Rehabilitation Center
- 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 - Limited Liability company
- Certified
- Aug 6, 1991
- Medicare certification status
- Active
- Certified beds
- 112 · 94.1 residents per day on average
- Chain
- Signature Healthcare
- Penalties (3 years)
- 1 · fines totaling $6,682
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 18D0934872 | LP Harrodsburg, LLC | Certificate of waiver | Oct 15, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
Skilled nursing facility certification: CCN 185287
- Legal name
- LP HARRODSBURG LLC
- Doing business as
- HARRODSBURG HEALTH & REHABILITATION CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Aug 6, 1991
- Last certification
- Nov 8, 2024
- Beds
- 112
- Ownership / control type
- Limited Liability Corporation
- Multi-facility organization
- Signature Healthcare
- Organization structure
- LLC · Proprietary
- Incorporated
- Feb 4, 2014 in DE
- Enrollment address
- 853 Lexington Rd
Harrodsburg, KY 40330-1260 - Nursing home name
- HARRODSBURG HEALTH & REHABILITATION CENTER
- Affiliated entity
- SIGNATURE HEALTHCARE
All disclosed owners & managing parties 11
| Name | Role | Since | Share |
|---|---|---|---|
| Jessica Toth |
W-2 Managing Employee |
May 6, 2024 | |
| Ira Smedra |
5% Or Greater Indirect Ownership Interest | Apr 1, 2014 | 12% |
| Asbr Holdings LLC |
5% Or Greater Indirect Ownership Interest | May 1, 2018 | 100% |
| Signature Healthcare LLC |
Other | Apr 1, 2014 | |
| SHC LP Holdings LLC |
5% Or Greater Indirect Ownership Interest | Apr 1, 2014 | 100% |
| Lpsnf LLC |
5% Or Greater Indirect Ownership Interest | Apr 1, 2014 | 74% |
| John H Harrison |
Corporate Officer |
Apr 1, 2014 | |
| SHC Ky Holdings LLC |
5% Or Greater Direct Ownership Interest | Apr 1, 2014 | 100% |
| Wheaten LLC |
5% Or Greater Indirect Ownership Interest | Apr 1, 2014 | 5% |
| Elmer Joseph Steier III |
5% Or Greater Indirect Ownership Interest | Apr 1, 2014 | 20% |
| Jjla LLC |
5% Or Greater Indirect Ownership Interest | Apr 1, 2014 | 20% |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20140310001899 | KY | Part a Provider - Skilled Nursing Facility | 6709016819 | Practice locations: Harrodsburg, KY |
National Provider Directory
- Part of
- Signature Healthcare LLC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Yes |
Addresses
Primary practice location
853 Lexington Rd
Harrodsburg, KY 40330-1260
Mailing address
853 Lexington Rd
Harrodsburg, KY 40330-1260
Phone (859) 734-7791
Other names
- Harrodsburg Health & Rehabilitation Center
Other providers in Harrodsburg, KY
- Angela Craig Logdon
- William Frederick Loggins
- Jacob Long
- Victoria Long
- Joset C Longmore
- Stacie Lyn Lynn
- Sarah Jane Maddox
- Inna Oksana Malyuk
- Alicia D McGee
- Carol A McQueen
All providers in Harrodsburg, KY · Skilled Nursing Facility in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 3, 2023. 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.