Organization Active NPI

Lyndon Crossing, LLC

  • Skilled Nursing Facility
  • Louisville, KY
National Provider Identifier
1730917519
Registry record updated Jul 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
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

Updated by the provider on Jul 23, 2024

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)CodeLicenseStatePrimary
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 Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
LLCProprietary
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, LLCCCN 185165
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Dec 15, 1981
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
145125.6 residents per day on average
Chain
Journey Healthcare32 facilities in the chain
Special focus status
SFF
Penalties (3 years)
3Fines totaling $20,563

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
18D0322067Lyndon Crossing, LLC1101 Lyndon Lane, Louisville, KY 40222Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Ownership & 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.

NameRoleSinceShare
Fillmore Strategic Investors LLC Organization, Chicago, IL LLC, For-profit Adp of the SNF Aug 1, 2024
Journey CZ Management LLC Organization, Noblesville, IN LLC, Management services company, For-profit Operational/Managerial Control Aug 1, 2024
Adp of the SNF Dec 13, 2024
Blue Ocean Trust Organization, Boca Raton, FL For-profit 5% Or Greater Indirect Ownership Interest Aug 1, 2024 31.7%
Ajoj Holdings LLC Organization, Boca Raton, FL LLC, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Aug 1, 2024 33.33%
Washington State Investment Board Organization, Olympia, WA Non-profit Adp of the SNF Aug 1, 2024
Shasam Holdings LLC Organization, Boca Raton, FL LLC, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Aug 1, 2024 33.33%
Drumm Merger Co Organization, San Francisco, CA Corporation, For-profit Adp of the SNF Aug 1, 2024
Pearl Senior Care, LLC. Organization, Frisco, TX LLC, For-profit Adp of the SNF Jun 1, 2024
Drumm Intermediary Sub Co LLC Organization, San Francisco, CA LLC, For-profit Adp of the SNF Aug 1, 2024
Journey CZ Ky Healthcare Holdings LLC Organization, Noblesville, IN LLC, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Aug 1, 2024 100%
Beverly Enterprises LLC Organization, Frisco, TX LLC, For-profit Adp of the SNF Jun 1, 2024
Bernard J McGuinness Individual 5% Or Greater Indirect Ownership Interest Aug 1, 2024 4.9%
Operational/Managerial Control Aug 1, 2024
3 Bees Holdings LLC Organization, Noblesville, IN LLC, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Aug 1, 2024 33.33%
Drumm Merger Co Sub LLC Organization, San Francisco, CA LLC, For-profit Adp of the SNF Aug 1, 2024
Shasam Family Trust Organization, Boca Raton, FL For-profit 5% Or Greater Indirect Ownership Interest Aug 1, 2024 31.7%
Journey CZ of Ky LLC Organization, Noblesville, IN LLC, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Aug 1, 2024 100%
Beverly Enterprises - Pennsylvania, Inc. Organization, Frisco, TX LLC, For-profit Adp of the SNF Aug 1, 2024
Beverly Health and Rehabilitiation Services, Inc Organization, Frisco, TX LLC, For-profit Adp of the SNF Aug 1, 2024
Geary Property Holdings LLC Organization, Frisco, TX LLC, For-profit Adp of the SNF Aug 1, 2024
Bees Family Irrevocable Trust Organization, Carmel, IN For-profit 5% Or Greater Indirect Ownership Interest Aug 1, 2024 37.7%
GPH Louisville Camelot LLC Organization, Frisco, TX For-profit, Owned by another organization or individual 5% Or Greater Security Interest Aug 1, 2024 100%
Adp of the SNF Aug 1, 2024
Jordan a Dempsey Individual Operational/Managerial Control Aug 1, 2024
Adp of the SNF Dec 13, 2024
Sandeep Kapoor Individual 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.

Facilities with the same owner 12

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

Practitioners & affiliated clinicians

Practitioners 1

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

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

Verify at the official NPI Registry.