LP Lexington Tanbark Road, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

LP LEXINGTON TANBARK ROAD, LLC

Doing business as

Singature Healthcare at Tanbark Rehab & Wellness Center

Practice address

1121 Tanbark Rd
Lexington, KY 40515-1826

Phone

(859) 273-7377

NPI assigned

Oct 5, 2015

Last updated

Apr 4, 2023By the provider in NPPES

Organization subpart

Yes

Parent organization

SIGNATURE HEALTHCARE, LLCAs reported in NPPES

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

Addresses

Other names 1

• Singature Healthcare at Tanbark Rehab & Wellness Center Doing business as

Part of

Signature Healthcare LLC

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": "1407226319",
    "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": "1121 TANBARK RD",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405151826",
            "telephone_number": "859-273-7377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LP LEXINGTON TANBARK ROAD, 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": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Singature Healthcare at Tanbark Rehab & Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Singature Healthcare at Tanbark Rehab & Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Robert E. Loy, D.M.D
• Kellie Lozano, M.S., CCC-SLP
• Richard Lozano, M.D.
• LP Lexington LLC (Mayfair Manor)
• LP Lexington Pimlico, LLC (Bluegrass Care and Rehabilitation Center)
• LRR Dre PLLC
• Pai-Yue Lu, M.D.
• James Phillip Luallen, PSS
• Suzanne Lynne Lubarsky, M.D.
• Walter Charles Lubbers, MD

• Skilled Nursing Facility in Lexington, KY
• Providers in Lexington, KY by specialty
• Skilled Nursing Facility in Kentucky

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.