LP Memphis V, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

LP MEMPHIS V, LLC

Doing business as

Signature HealthCARE of Primacy

Practice address

6025 Primacy Pkwy
Memphis, TN 38119-5763

Phone

(901) 767-1040

Fax

(901) 685-7362

NPI assigned

Jul 2, 2014

Last updated

Apr 4, 2023By the provider in NPPES

Organization subpart

No

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

Addresses

Other names 1

• Signature HealthCARE of Primacy Doing business as

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1760898415. Details of each certification follow.

• CCN 445140 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 445140

Legal name

LP MEMPHIS V, LLC

Doing business as

SIGNATURE HEALTHCARE OF PRIMACY

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Jun 3, 1981

Last certification

Dec 1, 2021

Beds

120

Ownership / control type

Limited Liability Corporation

Multi-facility organization

Signature Healthcare

Organization structure

LLCProprietary

Incorporated

Jun 16, 2014 in DE

Enrollment address

6025 Primacy Parkway
Memphis, TN 38119-5763

Nursing home name

SIGNATURE HEALTHCARE OF PRIMACY

Affiliated entity

SIGNATURE HEALTHCARE

Listed as

Signature Healthcare of PrimacyCCN 445140 · All quality measures

Overall star rating

5 of 5

Health inspections

4 of 5

Staffing

2 of 5

Quality measures

5 of 5

Type

Medicare and Medicaid

Ownership

For profit - Limited Liability company

Certified

Jun 3, 1981

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

12097.4 residents per day on average

Chain

Signature Healthcare67 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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.

Facilities with the same owner 67

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

• LP Byrdstown LLC

  dba Pickett Care & Rehabilitation Center

  • Nursing Facility/Intermediate Care Facility
  • Byrdstown, TN
  • NPI 1407047798

  Jjla LLC, Wheaten LLC

  CMS ownership
• LP Clarksville LLC

  dba Signature HealthCARE of Clarksville

  • Nursing Facility/Intermediate Care Facility
  • Clarksville, TN
  • NPI 1891985131

  Jjla LLC, Lpsnf LLC, Wheaten LLC

  CMS ownership
• LP Cleveland LLC

  dba Signature HealthCARE of Cleveland

  • Nursing Facility/Intermediate Care Facility
  • Cleveland, TN
  • NPI 1508057456

  Jjla LLC, Wheaten LLC

  CMS ownership
• LP Cookeville, LLC

  dba Signature HealthCARE of Putnam County

  • Skilled Nursing Facility
  • Cookeville, TN
  • NPI 1144645870

  Asbr Holdings LLC, Jjla LLC, Lpsnf LLC, SHC LP Holdings LLC, Wheaten LLC

  CMS ownership
• LP Elizabethton LLC

  dba Signature HealthCARE of Elizabethton Rehab & Wellness Center

  • Nursing Facility/Intermediate Care Facility
  • Elizabethton, TN
  • NPI 1255521555

  Jjla LLC, Wheaten LLC

  CMS ownership
• LP Erin LLC

  dba Signature HealthCARE of Erin

  • Nursing Facility/Intermediate Care Facility
  • Erin, TN
  • NPI 1457541872

  Jjla LLC, Wheaten LLC

  CMS ownership
• LP Greeneville LLC

  dba Signature HealthCARE of Greeneville

  • Nursing Facility/Intermediate Care Facility
  • Greeneville, TN
  • NPI 1699966986

  Jjla LLC, Wheaten LLC

  CMS ownership
• LP Jamestown LLC

  dba Signature HealthCARE of Fentress County

  • Nursing Facility/Intermediate Care Facility
  • Jamestown, TN
  • NPI 1174713598

  Jjla LLC, Wheaten LLC

  CMS ownership
• LP Johnson City, LLC

  dba Princeton Transitional Care & Assisted Living

  • Skilled Nursing Facility
  • Johnson City, TN
  • NPI 1043798424

  Jjla LLC, Lpsnf LLC, Wheaten LLC

  CMS ownership
• LP Memphis LLC

  dba Signature HealthCARE of Memphis

  • Nursing Facility/Intermediate Care Facility
  • Memphis, TN
  • NPI 1831380120

  Jjla LLC, Wheaten LLC

  CMS ownership
• LP Monteagle LLC

  dba Signature HealthCARE of Monteagle Rehab & Wellness Center

  • Nursing Facility/Intermediate Care Facility
  • Monteagle, TN
  • NPI 1528259561

  Jjla LLC, Wheaten LLC

  CMS ownership
• LP Monterey LLC

  dba Standing Stone Care & Rehabilitation Center

  • Nursing Facility/Intermediate Care Facility
  • Monterey, TN
  • NPI 1922299213

  Jjla LLC, Wheaten LLC

  CMS ownership

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mohamad Khaled Moughrabieh, MD

  • Internal Medicine Physician
  • Memphis, TN
  • NPI 1063679827
  NPD (past)
• Angela D Watson, DO

  • Internal Medicine Physician
  • Memphis, TN
  • NPI 1275601346
  NPD (past)

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Angela D Watson, DO

  • Internal Medicine Physician
  • Memphis, TN
  • NPI 1275601346

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1404259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680566400000",
    "number": "1760898415",
    "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",
            "fax_number": "502-259-0183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6025 PRIMACY PKWY",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381195763",
            "telephone_number": "901-767-1040",
            "fax_number": "901-685-7362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LP MEMPHIS V, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-02",
        "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 Primacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Signature HealthCARE of Primacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amy Lorraine Lowry
• Micah Loyd
• Tamia Marie Lozada Soto, MD
• LP Memphis II, LLC (Signature HealthCARE at Saint Francis)
• LP Memphis LLC (Signature HealthCARE of Memphis)
• LS of Memphis, PC
• LS Transports You, LLC
• Evelyn Lu
• Feng Lu
• Ashley Lucas

• Skilled Nursing Facility in Memphis, TN
• Providers in Memphis, TN by specialty
• Skilled Nursing Facility in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2023; 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.

Verify at the official NPI Registry.