Active NPI
Lyndon Crossing, LLC
- Skilled Nursing Facility
- Louisville, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- LYNDON CROSSING, LLC
- Practice address
- 1101 Lyndon LN
Louisville, KY 40222-4317 - Phone
- (502) 425-0331
- NPI assigned
- Jul 23, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Bernard McGuinness
- Title
- Authorized Representative
- Phone
- (502) 425-0331
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
1101 Lyndon LN
Louisville, KY 40222-4317
Mailing address
1101 Lyndon LN
Louisville, KY 40222-4317
Phone (502) 425-0331
Other names 1
- Lyndon Crossing
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240924002685 | KY | Part A Provider - Skilled Nursing Facility | 3971044439 | Practice locations: Louisville, KY |
Skilled nursing facility certification: CCN 185165
- Legal name
- LYNDON CROSSING, LLC
- Doing business as
- LYNDON CROSSING
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Dec 15, 1981
- Last certification
- Feb 13, 2025
- Beds
- 145
- Ownership / control type
- Corporation
- Multi-facility organization
- Journey Healthcare
- Organization structure
- LLC
- Enrollment address
- 1101 Lyndon Lane
Louisville, KY 40222-4317 - Nursing home name
- LYNDON CROSSING, LLC
- Affiliated entity
- JOURNEY HEALTHCARE
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Lyndon Crossing, LLC
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Dec 15, 1981
- Medicare certification status
- Active
- Certified beds
- 145
- Chain
- Journey Healthcare
- Special focus status
- SFF
- Penalties (3 years)
- 3
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 |
|---|---|---|---|
| 18D0322067 | Lyndon Crossing, LLC | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 23
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 |
|---|---|---|---|
| Fillmore Strategic Investors LLC | Adp of the SNF | Aug 1, 2024 | |
| Journey CZ Management LLC | Operational/Managerial Control | Aug 1, 2024 | |
| Adp of the SNF | Dec 13, 2024 | ||
| Blue Ocean Trust | 5% Or Greater Indirect Ownership Interest | Aug 1, 2024 | 31.7% |
| Ajoj Holdings LLC | 5% Or Greater Indirect Ownership Interest | Aug 1, 2024 | 33.33% |
| Washington State Investment Board | Adp of the SNF | Aug 1, 2024 | |
| Shasam Holdings LLC | 5% Or Greater Indirect Ownership Interest | Aug 1, 2024 | 33.33% |
| Drumm Merger Co | Adp of the SNF | Aug 1, 2024 | |
| Pearl Senior Care, LLC. | Adp of the SNF | Jun 1, 2024 | |
| Drumm Intermediary Sub Co LLC | Adp of the SNF | Aug 1, 2024 | |
| Journey CZ Ky Healthcare Holdings LLC | 5% Or Greater Indirect Ownership Interest | Aug 1, 2024 | 100% |
| Beverly Enterprises LLC | Adp of the SNF | Jun 1, 2024 | |
| Bernard J McGuinness | 5% Or Greater Indirect Ownership Interest | Aug 1, 2024 | 4.9% |
| Operational/Managerial Control | Aug 1, 2024 | ||
| 3 Bees Holdings LLC | 5% Or Greater Indirect Ownership Interest | Aug 1, 2024 | 33.33% |
| Drumm Merger Co Sub LLC | Adp of the SNF | Aug 1, 2024 | |
| Shasam Family Trust | 5% Or Greater Indirect Ownership Interest | Aug 1, 2024 | 31.7% |
| Journey CZ of Ky LLC | 5% Or Greater Direct Ownership Interest | Aug 1, 2024 | 100% |
| Beverly Enterprises - Pennsylvania, Inc. | Adp of the SNF | Aug 1, 2024 | |
| Beverly Health and Rehabilitiation Services, Inc | Adp of the SNF | Aug 1, 2024 | |
| Geary Property Holdings LLC | Adp of the SNF | Aug 1, 2024 | |
| Bees Family Irrevocable Trust | 5% Or Greater Indirect Ownership Interest | Aug 1, 2024 | 37.7% |
| GPH Louisville Camelot LLC | 5% Or Greater Security Interest | Aug 1, 2024 | 100% |
| Adp of the SNF | Aug 1, 2024 | ||
| Jordan a Dempsey | Operational/Managerial Control | Aug 1, 2024 | |
| Adp of the SNF | Dec 13, 2024 | ||
| Sandeep Kapoor | Operational/Managerial Control | Aug 1, 2024 | |
| Adp of the SNF | Dec 13, 2024 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Internal Medicine Physician
- Louisville, KY
- NPI 1043264641
Adp of the SNF, Operational/Managerial Control
Facilities with the same owner 12
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- Skilled Nursing Facility
- Louisville, KY
- NPI 1275361016
3 Bees Holdings LLC, Ajoj Holdings LLC, Bees Family Irrevocable Trust, Blue Ocean Trust, Journey CZ Ky Healthcare Holdings LLC, Journey CZ of Ky LLC, Shasam Family Trust, Shasam Holdings LLC
-
- Skilled Nursing Facility
- Frankfort, KY
- NPI 1932937703
3 Bees Holdings LLC, Ajoj Holdings LLC, Bees Family Irrevocable Trust, Blue Ocean Trust, Journey CZ Ky Healthcare Holdings LLC, Journey CZ of Ky LLC, Shasam Family Trust, Shasam Holdings LLC
-
- Skilled Nursing Facility
- Greensburg, KY
- NPI 1568290344
3 Bees Holdings LLC, Ajoj Holdings LLC, Bees Family Irrevocable Trust, Blue Ocean Trust, Journey CZ Ky Healthcare Holdings LLC, Journey CZ Management LLC, Journey CZ of Ky LLC, Shasam Family Trust, Shasam Holdings LLC
-
- Skilled Nursing Facility
- Stanford, KY
- NPI 1538997317
3 Bees Holdings LLC, Ajoj Holdings LLC, Bees Family Irrevocable Trust, Blue Ocean Trust, Journey CZ Ky Healthcare Holdings LLC, Journey CZ of Ky LLC, Shasam Family Trust, Shasam Holdings LLC
-
- Skilled Nursing Facility
- Vanceburg, KY
- NPI 1083442867
3 Bees Holdings LLC, Ajoj Holdings LLC, Bees Family Irrevocable Trust, Blue Ocean Trust, Journey CZ Ky Healthcare Holdings LLC, Journey CZ Management LLC, Shasam Family Trust, Shasam Holdings LLC
-
- Skilled Nursing Facility
- Cartersville, GA
- NPI 1518793710
3 Bees Holdings LLC, Ajoj Holdings LLC, Bees Family Irrevocable Trust, Blue Ocean Trust, Shasam Family Trust, Shasam Holdings LLC
-
- Skilled Nursing Facility
- Chardon, OH
- NPI 1467260182
3 Bees Holdings LLC, Ajoj Holdings LLC, Bees Family Irrevocable Trust, Shasam Family Trust, Shasam Holdings LLC
-
- Skilled Nursing Facility
- Frederick, MD
- NPI 1841028610
Journey CZ Management LLC
-
- Skilled Nursing Facility
- Glasgow, WV
- NPI 1023847027
3 Bees Holdings LLC, Ajoj Holdings LLC, Bees Family Irrevocable Trust, Blue Ocean Trust, Journey CZ Management LLC, Shasam Family Trust, Shasam Holdings LLC
-
- Skilled Nursing Facility
- Kirtland, OH
- NPI 1821826603
3 Bees Holdings LLC, Ajoj Holdings LLC, Bees Family Irrevocable Trust, Blue Ocean Trust, Shasam Family Trust, Shasam Holdings LLC
-
- Skilled Nursing Facility
- Morgantown, WV
- NPI 1285462069
3 Bees Holdings LLC, Ajoj Holdings LLC, Bees Family Irrevocable Trust, Blue Ocean Trust, Journey CZ Management LLC, Shasam Family Trust, Shasam Holdings LLC
-
- Skilled Nursing Facility
- Saint Albans, WV
- NPI 1710715594
3 Bees Holdings LLC, Ajoj Holdings LLC, Bees Family Irrevocable Trust, Blue Ocean Trust, Journey CZ Management LLC, Shasam Family Trust, Shasam Holdings 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.
-
- Internal Medicine Physician
- Louisville, KY
- NPI 1043264641
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": "1721692800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1721692800000",
"number": "1730917519",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1101 LYNDON LN",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402224317",
"telephone_number": "502-425-0331"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1101 LYNDON LN",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402224317",
"telephone_number": "502-425-0331"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LYNDON CROSSING, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-07-23",
"last_updated": "2024-07-23",
"certification_date": "2024-07-23",
"status": "A",
"authorized_official_last_name": "MCGUINNESS",
"authorized_official_first_name": "BERNARD",
"authorized_official_title_or_position": "AUTHORIZED REPRESENTATIVE",
"authorized_official_telephone_number": "502-425-0331"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Lyndon Crossing",
"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 Jul 23, 2024; 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.