Active NPI
LP Louisville Quinn Drive, LLC
- Skilled Nursing Facility
- Louisville, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- LP LOUISVILLE QUINN DRIVE, LLC
- Practice address
- 4700 Quinn Dr
Louisville, KY 40216-2943 - Phone
- (502) 448-5850
- NPI assigned
- Oct 5, 2015
- Organization subpart
- Yes
- Parent organization
- SIGNATURE HEALTHCARE, LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- John Harrison
- Title
- Cfo
- Phone
- (502) 568-7800
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
4700 Quinn Dr
Louisville, KY 40216-2943
Mailing address
12201 Bluegrass Pkwy
Louisville, KY 40299-2361
Phone (502) 568-7800
Other names 1
- Signature Healthcare at Rockford Rehab & Wellness Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20160105002480 | KY | Part A Provider - Skilled Nursing Facility | 2466754684 | Practice locations: Louisville, KY |
Skilled nursing facility certification: CCN 185311
- Legal name
- LP LOUISVILLE QUINN DRIVE LLC
- Doing business as
- SIGNATURE HEALTHCARE AT ROCKFORD REHAB AND WELLNESS CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Dec 1, 1991
- Last certification
- Oct 4, 2024
- Beds
- 110
- Ownership / control type
- Corporation
- Multi-facility organization
- Signature Healthcare
- Organization structure
- Other
- Incorporated
- Aug 20, 2015 in DE
- Enrollment address
- 4700 Quinn Dr
Louisville, KY 40216-2943 - Nursing home name
- SIGNATURE HEALTHCARE AT ROCKFORD REHAB & WELLNESS CENTER
- Affiliated entity
- SIGNATURE HEALTHCARE
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Signature Healthcare at Rockford Rehab & Wellness
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Dec 1, 1991
- Medicare certification status
- Active
- Certified beds
- 110
- Chain
- Signature Healthcare
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 18D0321696 | LP Louisville Quinn Drive, LLC D/B/a Signature | Certificate of waiver | Aug 31, 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.
| Name | Role | Since | Share |
|---|---|---|---|
| Ira Smedra | 5% Or Greater Indirect Ownership Interest | Dec 1, 2015 | 12% |
| Asbr Holdings LLC | 5% Or Greater Indirect Ownership Interest | May 1, 2018 | 100% |
| Dawn M Smith | W-2 Managing Employee | Apr 15, 2024 | |
| Signature Healthcare LLC | Operational/Managerial Control | Dec 1, 2015 | |
| SHC LP Holdings LLC | 5% Or Greater Direct Ownership Interest | Dec 1, 2015 | 100% |
| Lpsnf LLC | 5% Or Greater Indirect Ownership Interest | Dec 1, 2015 | 74% |
| John H Harrison | Corporate Officer | Dec 1, 2015 | |
| Wheaten LLC | 5% Or Greater Indirect Ownership Interest | Dec 1, 2015 | 5% |
| Elmer Joseph Steier III | 5% Or Greater Indirect Ownership Interest | Dec 1, 2015 | 20% |
| Jjla LLC | 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.
-
- Skilled Nursing Facility
- Annville, KY
- NPI 1760853725
Asbr Holdings LLC, Jjla LLC, Lpsnf LLC, SHC LP Holdings LLC, Wheaten LLC
-
- Skilled Nursing Facility
- Bardstown, KY
- NPI 1548631070
Asbr Holdings LLC, Jjla LLC, Lpsnf LLC, SHC LP Holdings LLC, Wheaten LLC
-
- Skilled Nursing Facility
- Beattyville, KY
- NPI 1255522520
Jjla LLC, Signature Healthcare LLC, Wheaten LLC
-
- Skilled Nursing Facility
- Bowling Green, KY
- NPI 1447674437
Asbr Holdings LLC, Jjla LLC, Lpsnf LLC, SHC LP Holdings LLC, Wheaten LLC
-
- Skilled Nursing Facility
- Brodhead, KY
- NPI 1609053735
Jjla LLC, Lpsnf LLC, Wheaten LLC
-
- Skilled Nursing Facility
- Calhoun, KY
- NPI 1932523602
Asbr Holdings LLC, Jjla LLC, Lpsnf LLC, SHC LP Holdings LLC, Wheaten LLC
-
- Skilled Nursing Facility
- Calvert City, KY
- NPI 1619218385
Asbr Holdings LLC, Jjla LLC, Lpsnf LLC, SHC LP Holdings LLC, Wheaten LLC
-
- Skilled Nursing Facility
- Carrollton, KY
- NPI 1134599525
Asbr Holdings LLC, Jjla LLC, Lpsnf LLC, SHC LP Holdings LLC, Wheaten LLC
-
- Skilled Nursing Facility
- Columbia, KY
- NPI 1255701397
Asbr Holdings LLC, Jjla LLC, Lpsnf LLC, SHC LP Holdings LLC, Wheaten LLC
-
- Skilled Nursing Facility
- Danville, KY
- NPI 1992129613
Asbr Holdings LLC, Jjla LLC, Lpsnf LLC, SHC LP Holdings LLC, Wheaten LLC
-
- Skilled Nursing Facility
- Elizabethtown, KY
- NPI 1922422690
Asbr Holdings LLC, Jjla LLC, Lpsnf LLC, SHC LP Holdings LLC, Signature Healthcare LLC, Wheaten LLC
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Lexington, KY
- NPI 1942415732
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": "1444003200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1680566400000",
"number": "1396115291",
"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"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4700 QUINN DR",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402162943",
"telephone_number": "502-448-5850"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LP LOUISVILLE QUINN DRIVE, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "SIGNATURE HEALTHCARE, LLC",
"enumeration_date": "2015-10-05",
"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"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Signature Healthcare at Rockford Rehab & Wellness Center",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Signature Healthcare at Rockford Rehab & Wellness Center",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.