NPIMap

Organization Active NPI

LP Roanoke Rapids, LLC

  • Skilled Nursing Facility
  • Roanoke Rapids, NC
National Provider Identifier
1649685132
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 ROANOKE RAPIDS, LLC
Practice address
305 E 14TH St
Roanoke Rapids, NC 27870-4430
Phone
(252) 537-6181
NPI assigned
Jun 24, 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
John Harrison
Title
Cfo
Phone
(502) 568-7800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

305 E 14TH St
Roanoke Rapids, NC 27870-4430

Mailing address

305 E 14TH St
Roanoke Rapids, NC 27870-4430
Phone (252) 537-6181

Other names 1

  • Signature HealthCARE of Roanoke Rapids Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140724000299 NC Part A Provider - Skilled Nursing Facility 7113143306 Practice locations: Roanoke Rapids, NC

Skilled nursing facility certification: CCN 345336

Legal name
LP ROANOKE RAPIDS LLC
Doing business as
SIGNATURE HEALTHCARE OF ROANOKE RAPIDS
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Dec 5, 1990
Last certification
Jan 8, 2025
Beds
108
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Signature Healthcare
Organization structure
LLCProprietary
Incorporated
Jun 16, 2014 in DE
Enrollment address
305 E 14TH St
Roanoke Rapids, NC 27870-4430
Nursing home name
SIGNATURE HEALTHCARE OF ROANOKE RAPIDS
Affiliated entity
SIGNATURE HEALTHCARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Signature Healthcare of Roanoke RapidsCCN 345336
Overall star rating
2 of 5
Health inspections
2 of 5
Staffing
1 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Dec 5, 1990
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
10881.8 residents per day on average
Chain
Signature Healthcare67 facilities in the chain
Penalties (3 years)
1Fines totaling $9,110

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
34D0699279Signature Healthcare of Roanoke Rapids305 E 14TH Street, Roanoke Rapids, NC 27870Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory
Tax ID family
LP Roanoke Rapids LLC2 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 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 Interest Aug 1, 2014 12%
Asbr Holdings LLC Organization, Louisville, KY LLC 5% Or Greater Indirect Ownership Interest May 1, 2018 100%
Ingrid Houston Individual W-2 Managing EmployeeAd; Jun 11, 2024
Signature Healthcare LLC Organization, Louisville, KY LLC Other Aug 1, 2014
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 74%
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%
Elmer Joseph Steier III Individual 5% Or Greater Indirect Ownership Interest Aug 1, 2014 20%
Jjla LLC Organization, Louisville, KY LLC 5% Or Greater Indirect Ownership Interest Aug 1, 2014 20%

Facilities with the same owner 67

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

View all 67

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 3

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": "1403568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680566400000",
    "number": "1649685132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 E 14TH ST",
            "city": "ROANOKE RAPIDS",
            "state": "NC",
            "postal_code": "278704430",
            "telephone_number": "252-537-6181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 E 14TH ST",
            "city": "ROANOKE RAPIDS",
            "state": "NC",
            "postal_code": "278704430",
            "telephone_number": "252-537-6181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LP ROANOKE RAPIDS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-24",
        "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 of Roanoke Rapids",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Signature HealthCARE of Roanoke Rapids",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Roanoke Rapids, NC

Sources for this page

Verify at the official NPI Registry.