LP Calvert City, LLC
Organization Active NPI Skilled Nursing Facility · Calvert City, KY
NPI 1619218385 · NPPES record last updated Apr 3, 2023
Key facts
- NPI
- 1619218385
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- License
- APPLIED FOR (KY)
- Legal business name
- LP CALVERT CITY, LLC
- Practice address
- 10456 US Highway 62
Calvert City, KY 42029-9020 - Phone
- (270) 898-6288
- NPI assigned
- Mar 6, 2013
- Organization subpart
- No
Authorized official
- Name
- John Harrison
- Title
- Cfo
- Phone
- (502) 568-7800
Facilities with the same owner 67
Practitioners 2
-
Austin Beck, MD
Affiliated clinicians 2
-
Austin Beck, MD
Medicare Care Compare: Nursing home
- Listed as
- Oakview Nursing & Rehabilitation Center
- Overall star rating
- ★★☆☆☆ 2 of 5
- Health inspections
- ★★☆☆☆ 2 of 5
- Staffing
- ★★☆☆☆ 2 of 5
- Quality measures
- ★★☆☆☆ 2 of 5
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Nov 16, 1988
- Medicare certification status
- Active
- Certified beds
- 100 · 78.7 residents per day on average
- Chain
- Signature Healthcare
- Penalties (3 years)
- 2 · fines totaling $15,646
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
Skilled nursing facility certification: CCN 185195
- Legal name
- LP CALVERT CITY LLC
- Doing business as
- OAKVIEW NURSING & REHABILITATION CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Nov 16, 1988
- Last certification
- Jun 13, 2024
- Beds
- 100
- Ownership / control type
- Limited Liability Corporation
- Multi-facility organization
- SHC Holdings
- Organization structure
- LLC · Proprietary
- Incorporated
- Jan 17, 2013 in DE
- Enrollment address
- 10456 US Highway 62
Calvert City, KY 42029-9020 - Nursing home name
- OAKVIEW NURSING & REHABILITATION CENTER
- Affiliated entity
- SIGNATURE HEALTHCARE
All disclosed owners & managing parties 11
| Name | Role | Since | Share |
|---|---|---|---|
| Stacey D Bullock |
W-2 Managing Employee |
Aug 26, 2024 | |
| Ira Smedra |
5% Or Greater Indirect Ownership Interest | Apr 1, 2013 | 12% |
| Asbr Holdings LLC |
5% Or Greater Indirect Ownership Interest | May 1, 2018 | 100% |
| Signature Healthcare LLC |
Other | Apr 1, 2013 | |
| SHC LP Holdings LLC |
5% Or Greater Indirect Ownership Interest | Apr 1, 2013 | 100% |
| Lpsnf LLC |
5% Or Greater Indirect Ownership Interest | Apr 1, 2013 | 74% |
| John H Harrison |
Corporate Officer |
Apr 1, 2013 | |
| SHC Ky Holdings LLC |
5% Or Greater Direct Ownership Interest | Apr 1, 2013 | 100% |
| Wheaten LLC |
5% Or Greater Indirect Ownership Interest | Apr 1, 2013 | 5% |
| Elmer Joseph Steier III |
5% Or Greater Indirect Ownership Interest | Apr 1, 2013 | 20% |
| Jjla LLC |
5% Or Greater Indirect Ownership Interest | Apr 1, 2013 | 20% |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20130403000630 | KY | Part a Provider - Skilled Nursing Facility | 2860637303 | Practice locations: Calvert City, KY |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | APPLIED FOR | KY | Yes |
Addresses
Primary practice location
10456 US Highway 62
Calvert City, KY 42029-9020
Mailing address
10456 US Highway 62
Calvert City, KY 42029-9020
Phone (270) 898-6288
Other names
- Oakview Nursing & Rehabilitation Center
Other providers in Calvert City, KY
- John P Lyles Optometrist
- Susan Leah Landis
- Cynthia Jill Landon
- Ben Leonard
- Lori Ann Lipinski
- Marshall County Health Department
- Leeann Mills
- Hayes Oliver
- Purchase Care LLC
- Jacob Ryan Quint
All providers in Calvert City, KY · Skilled Nursing Facility in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 3, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.