Organization Active NPI

LP Rockwood LLC

Doing business as Signature HealthCARE of Rockwood Rehab & Wellness Center

  • Nursing Facility/Intermediate Care Facility
  • Rockwood, TN
National Provider Identifier
1295926582
Registry record updated Apr 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
License
213 Issued in TN
Legal business name
LP ROCKWOOD LLC
Doing business as
Signature HealthCARE of Rockwood Rehab & Wellness Center
Practice address
5580 Roane State Hwy
Rockwood, TN 37854-4332
Phone
(865) 354-3366
Fax
(865) 354-2737
NPI assigned
Aug 5, 2007
Last updated
Apr 4, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
LP CR HOLDINGS 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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X 213 TN Primary
Skilled Nursing Facility 314000000X 213 TN

Addresses

Primary practice location

5580 Roane State Hwy
Rockwood, TN 37854-4332

Mailing address

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

Other identifiers 2

IdentifierTypeStateIssuer
0445143MedicaidTN
7440569MedicaidTN

Other names 1

  • Signature HealthCARE of Rockwood Rehab & Wellness Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071018000052 TN Part A Provider - Skilled Nursing Facility 8820184112 Practice locations: Rockwood, TN

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1295926582. Details of each certification follow.

Skilled nursing facility certification: CCN 445143

Legal name
LP ROCKWOOD LLC
Doing business as
SIGNATURE HEALTHCARE OF ROCKWOOD REHAB & WELLNESS CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jun 26, 1981
Last certification
May 17, 2023
Beds
157
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Signature Healthcare LLC
Most recent change of ownership
Nov 1, 2007
Organization structure
LLCProprietary
Incorporated
Nov 8, 2006 in DE
Enrollment address
5580 Roane State Hwy
Rockwood, TN 37854-4332
Nursing home name
SIGNATURE HEALTHCARE OF ROCKWOOD REHAB & WELLNESS
Affiliated entity
SIGNATURE HEALTHCARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Signature Healthcare of Rockwood Rehab & WellnessCCN 445143 · All quality measures
Overall star rating
5 of 5
Health inspections
5 of 5
Staffing
3 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Jun 26, 1981
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
15772.2 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
44D0670421LP Rockwood, LLC Dba Signature Healthcare5580 Roane State Hwy, Rockwood, TN 37854Certificate of waiverJan 29, 2027

National Provider Directory

National Provider Directory

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 Nov 1, 2007 12%
Agemo Holdings LLC Organization, Louisville, KY LLC 5% Or Greater Indirect Ownership Interest Oct 1, 2016 100%
Lpsnf II LLC Organization, Los Angeles, CA LLC 5% Or Greater Indirect Ownership Interest Oct 1, 2016 74%
Signature Healthcare LLC Organization, Louisville, KY LLC Other Nov 1, 2007
John H Harrison Individual Corporate OfficerCfo Nov 1, 2007
Roger Parker Individual W-2 Managing EmployeeAdministrator Jul 1, 2022
Wheaten LLC Organization, Los Angeles, CA LLC 5% Or Greater Indirect Ownership Interest Nov 1, 2007 5%
Elmer Joseph Steier III Individual 5% Or Greater Indirect Ownership InterestCeo & President Nov 1, 2007 20%
LP CR Holdings LLC Organization, Louisville, KY LLC 5% Or Greater Direct Ownership Interest Nov 1, 2007 100%
Jjla LLC Organization, Louisville, KY LLC 5% Or Greater Indirect Ownership Interest Nov 1, 2007 20%

Facilities with the same owner 64

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

View all 64

Practitioners & affiliated clinicians

Practitioners 1

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 1

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": "1186272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680566400000",
    "number": "1295926582",
    "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": "5580 ROANE STATE HWY",
            "city": "ROCKWOOD",
            "state": "TN",
            "postal_code": "378544332",
            "telephone_number": "865-354-3366",
            "fax_number": "865-354-2737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LP ROCKWOOD LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LP CR HOLDINGS LLC",
        "enumeration_date": "2007-08-05",
        "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": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "TN",
            "license": "213",
            "primary": true
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TN",
            "license": "213",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0445143",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7440569",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Signature HealthCARE of Rockwood Rehab & Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Signature HealthCARE of Rockwood Rehab & Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rockwood, TN

Sources for this page

Verify at the official NPI Registry.