NPIMap

Organization Active NPI

LP Norfolk, LLC

  • Skilled Nursing Facility
  • Norfolk, VA
National Provider Identifier
1497160089
Registry record updated Apr 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
LP NORFOLK, LLC
Doing business as
Signature Healthcare of Norfolk
Practice address
1005 Hampton Blvd
Norfolk, VA 23507-1505
Phone
(757) 623-5602
Fax
(757) 623-4646
NPI assigned
Jun 23, 2014
Organization subpart
No

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

1005 Hampton Blvd
Norfolk, VA 23507-1505

Mailing address

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

Other names 1

  • Signature Healthcare of Norfolk Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140724000152 VA Part A Provider - Skilled Nursing Facility 1153547336 Practice locations: Norfolk, VA

Skilled nursing facility certification: CCN 495068

Legal name
LP NORFOLK LLC
Doing business as
SIGNATURE HEALTHCARE OF NORFOLK
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jan 27, 1970
Last certification
Jul 21, 2023
Beds
169
Ownership / control type
Corporation
Multi-facility organization
SIGNATURE HEALTHCARE LLC
Most recent change of ownership
Aug 1, 2014
Organization structure
LLCProprietary
Incorporated
Jun 6, 2014 in DE
Enrollment address
1005 Hampton Blvd
Norfolk, VA 23507-1505
Nursing home name
SIGNATURE HEALTHCARE OF NORFOLK
Affiliated entity
SIGNATURE HEALTHCARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Signature Healthcare of NorfolkCCN 495068 · All quality measures
Overall star rating
3 of 5
Health inspections
2 of 5
Staffing
3 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Jan 27, 1970
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
169150.8 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
49D0229661Signature Healthcare of Norfolk1005 Hampton Blvd, Norfolk, VA 23507Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory
Tax ID family
Harbour Pointe Healthcare and Rehabilitation Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Ownership & related parties

All disclosed owners & managing parties 9

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 Interest Aug 1, 2014 16.97%
Cie Drake Individual W-2 Managing EmployeeAdministrator Dec 24, 2023
Signature Healthcare LLC Organization, Louisville, KY LLC Other May 7, 2018
SHC LP Holdings LLC Organization, Louisville, KY LLC 5% Or Greater Direct Ownership Interest Aug 1, 2014 100%
Lpsnf LLC Organization, Los Angeles, CA LLC 5% Or Greater Indirect Ownership Interest Aug 1, 2014 71.77%
John H Harrison Individual Corporate OfficerCfo Aug 1, 2014
Wheaten LLC Organization, Los Angeles, CA LLC 5% Or Greater Indirect Ownership Interest Aug 1, 2014 5.51%
Elmer Joseph Steier III Individual 5% Or Greater Indirect Ownership Interest Aug 1, 2014 10%
Jjla LLC Organization, Louisville, KY LLC 5% Or Greater Indirect Ownership Interest Aug 1, 2014 10%

Facilities with the same owner 64

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

View all 64

NPI Registry JSON

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

{
    "created_epoch": "1403481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680566400000",
    "number": "1497160089",
    "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": "1005 HAMPTON BLVD",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235071505",
            "telephone_number": "757-623-5602",
            "fax_number": "757-623-4646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LP NORFOLK, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-23",
        "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": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Signature Healthcare of Norfolk",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Signature Healthcare of Norfolk",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Norfolk, VA

Sources for this page

Verify at the official NPI Registry.