NPIMap

Organization Active NPI

LP Columbia Ky, LLC

Doing business as Signature Healthcare at Summit Manor Rehab & Wellness Center

  • Skilled Nursing Facility
  • Columbia, KY
National Provider Identifier
1255701397
Registry record updated Apr 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
LP COLUMBIA KY, LLC
Doing business as
Signature Healthcare at Summit Manor Rehab & Wellness Center
Practice address
400 Bomar HTS
Columbia, KY 42728-1511
Phone
(270) 384-2153
Fax
(270) 384-3964
NPI assigned
Oct 1, 2015
Last updated
Apr 3, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
SIGNATURE HEALTHCARE, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 3, 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) 568-7827

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

400 Bomar HTS
Columbia, KY 42728-1511

Mailing address

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

Other names 1

  • Signature Healthcare at Summit Manor 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
O20160105000716 KY Part A Provider - Skilled Nursing Facility 9537461793 Practice locations: Columbia, KY

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1255701397. Details of each certification follow.

Skilled nursing facility certification: CCN 185052

Legal name
LP COLUMBIA KY LLC
Doing business as
SIGNATURE HEALTHCARE AT SUMMIT MANOR REHAB & WELLNESS CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jun 27, 1967
Last certification
Jan 24, 2025
Beds
104
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Signature Healthcare
Most recent change of ownership
Jul 1, 2005
Organization structure
LLCProprietary
Incorporated
Aug 20, 2015 in DE
Enrollment address
400 Bomar HTS
Columbia, KY 42728-1511
Nursing home name
SIGNATURE HEALTHCARE AT SUMMIT MANOR REHAB & WELLNESS CENTER
Affiliated entity
SIGNATURE HEALTHCARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Signature Healthcare at Summit Manor Rehab & WellnCCN 185052 · All quality measures
Overall star rating
4 of 5
Health inspections
4 of 5
Staffing
3 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Jun 27, 1967
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
10484.3 residents per day on average
Chain
Signature Healthcare67 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
18D0327057LP Columbia Ky, LLC D/B/a Signature Healthcare400 Bomar Heights, Columbia, KY 42728Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory
Tax ID family
LP Columbia Ky LLC2 organizations share this tax ID, including this one
Part of
Signature Healthcare LLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

400 Bomar Hts
Columbia, KY 42728
Phone (270) 384-2153

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
Misty Morgeson Individual W-2 Managing EmployeeAdministrator Mar 5, 2021
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 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%
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.

  • LP Albany LLC

    dba Clinton County Care & Rehabilitation Center

    • Skilled Nursing Facility
    • Albany, KY
    • NPI 1437340700

    Jjla LLC, Wheaten LLC

    CMS ownership
  • LP Annville, LLC

    dba Signature Healthcare at Jackson Manor Rehab & Wellness Center

    • Skilled Nursing Facility
    • Annville, KY
    • NPI 1760853725

    Asbr Holdings LLC, Jjla LLC, Lpsnf LLC, SHC LP Holdings LLC, Wheaten LLC

    CMS ownership
  • LP Bardstown, LLC

    dba Signature Healthcare at Colonial Rehab & Wellness Center

    • Skilled Nursing Facility
    • Bardstown, KY
    • NPI 1548631070

    Asbr Holdings LLC, Jjla LLC, Lpsnf LLC, SHC LP Holdings LLC, Wheaten LLC

    CMS ownership
  • LP Beattyville LLC

    dba Lee County Care & Rehabilitation Center

    • Skilled Nursing Facility
    • Beattyville, KY
    • NPI 1255522520

    Jjla LLC, Wheaten LLC

    CMS ownership
  • LP Bowling Green, LLC

    dba Signature HealthCARE of Bowling Green

    • Skilled Nursing Facility
    • Bowling Green, KY
    • NPI 1447674437

    Asbr Holdings LLC, Jjla LLC, Lpsnf LLC, SHC LP Holdings LLC, Wheaten LLC

    CMS ownership
  • LP Brodhead LLC

    dba Rockcastle Health and Rehabilitation Center

    • Skilled Nursing Facility
    • Brodhead, KY
    • NPI 1609053735

    Jjla LLC, Lpsnf LLC, Wheaten LLC

    CMS ownership
  • LP Calhoun, LLC

    dba Riverside Care & Rehabilitation Center

    • Skilled Nursing Facility
    • Calhoun, KY
    • NPI 1932523602

    Asbr Holdings LLC, Jjla LLC, Lpsnf LLC, SHC LP Holdings LLC, Wheaten LLC

    CMS ownership
  • LP Calvert City, LLC

    dba Oakview Nursing & Rehabilitation Center

    • Skilled Nursing Facility
    • Calvert City, KY
    • NPI 1619218385

    Asbr Holdings LLC, Jjla LLC, Lpsnf LLC, SHC LP Holdings LLC, Wheaten LLC

    CMS ownership
  • LP Carrollton, LLC

    dba Signature Healthcare of Carrollton Rehab & Wellness Center

    • Skilled Nursing Facility
    • Carrollton, KY
    • NPI 1134599525

    Asbr Holdings LLC, Jjla LLC, Lpsnf LLC, SHC LP Holdings LLC, Wheaten LLC

    CMS ownership
  • LP Danville, LLC

    dba Danville Centre for Health & Rehabilitation

    • Skilled Nursing Facility
    • Danville, KY
    • NPI 1992129613

    Asbr Holdings LLC, Jjla LLC, Lpsnf LLC, SHC LP Holdings LLC, Wheaten LLC

    CMS ownership
  • LP E-Town, LLC

    dba Signature HealthCARE of Elizabethtown

    • Skilled Nursing Facility
    • Elizabethtown, KY
    • NPI 1922422690

    Asbr Holdings LLC, Jjla LLC, Lpsnf LLC, SHC LP Holdings LLC, Wheaten LLC

    CMS ownership
  • LP Georgetown LLC

    dba Signature HealthCARE of Georgetown

    • Skilled Nursing Facility
    • Georgetown, KY
    • NPI 1528259892

    Jjla LLC, Wheaten LLC

    CMS ownership
View all 67

Practitioners & affiliated clinicians

Practitioners 4

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.

Affiliated clinicians 2

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

NPI Registry JSON

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

{
    "created_epoch": "1443657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680480000000",
    "number": "1255701397",
    "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": "400 BOMAR HTS",
            "city": "COLUMBIA",
            "state": "KY",
            "postal_code": "427281511",
            "telephone_number": "270-384-2153",
            "fax_number": "270-384-3964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LP COLUMBIA KY, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SIGNATURE HEALTHCARE, LLC",
        "enumeration_date": "2015-10-01",
        "last_updated": "2023-04-03",
        "certification_date": "2023-04-03",
        "status": "A",
        "authorized_official_last_name": "HARRISON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "502-568-7827",
        "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 at Summit Manor Rehab & Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Signature Healthcare at Summit Manor Rehab & Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Columbia, KY

Sources for this page

Verify at the official NPI Registry.