Organization Active NPI

LP Clarksville LLC

Doing business as Signature HealthCARE of Clarksville

  • Nursing Facility/Intermediate Care Facility
  • Clarksville, TN
National Provider Identifier
1891985131
Registry record updated Apr 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
License
191 Issued in TN
Legal business name
LP CLARKSVILLE LLC
Doing business as
Signature HealthCARE of Clarksville
Practice address
198 Old Farmers Rd
Clarksville, TN 37043-4032
Phone
(931) 358-2900
Fax
(931) 358-3821
NPI assigned
Aug 1, 2007
Last updated
Apr 4, 2023By the provider in NPPES
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
Mr. John Harrison
Title
Cfo
Phone
(502) 568-7800

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X 191 TN Primary
Skilled Nursing Facility 314000000X 191 TN

Addresses

Primary practice location

198 Old Farmers Rd
Clarksville, TN 37043-4032

Mailing address

198 Old Farmers Rd
Clarksville, TN 37043-4032
Phone (931) 358-2900

Other names 1

  • Signature HealthCARE of Clarksville Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071019000537 TN Part A Provider - Skilled Nursing Facility 9234225384 Practice locations: Clarksville, TN

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1891985131. Details of each certification follow.

Skilled nursing facility certification: CCN 445448

Legal name
LP CLARKSVILLE LLC
Doing business as
SIGNATURE HEALTHCARE OF CLARKSVILLE
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Apr 1, 2002
Last certification
May 28, 2025
Beds
120
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Signature Healthcare
Organization structure
LLCProprietary
Incorporated
Nov 8, 2006 in DE
Enrollment address
198 Old Farmers Rd
Clarksville, TN 37043-4032
Nursing home name
SIGNATURE HEALTHCARE OF CLARKSVILLE
Affiliated entity
SIGNATURE HEALTHCARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Signature Healthcare of ClarksvilleCCN 445448 · All quality measures
Overall star rating
2 of 5
Health inspections
2 of 5
Staffing
2 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Apr 1, 2002
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
12092.1 residents per day on average
Chain
Signature Healthcare67 facilities in the chain
Penalties (3 years)
1Fines totaling $63,105

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
44D0946333LP Clarksville, LLC198 Old Farmers Rd, Clarksville, TN 37043Certificate of waiverMay 21, 2028

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 11

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Benjamin Crider Individual W-2 Managing EmployeeAdministrator Jan 16, 2024
Ira Smedra Individual 5% Or Greater Indirect Ownership InterestBoard Member Nov 1, 2007 12%
SHC LP Holdings II LLC Organization, Louisville, KY LLC 5% Or Greater Indirect Ownership Interest Jul 1, 2012 100%
Spring Holdings, LLC Organization, Louisville, KY LLC 5% Or Greater Indirect Ownership Interest May 1, 2018 100%
LP Re I Holdings LLC Organization, Louisville, KY LLC 5% Or Greater Direct Ownership Interest Nov 1, 2007 100%
Signature Healthcare LLC Organization, Louisville, KY LLC Other Nov 1, 2007
Lpsnf LLC Organization, Los Angeles, CA LLC 5% Or Greater Indirect Ownership Interest Nov 1, 2007 74%
John H Harrison Individual Corporate OfficerCfo Nov 1, 2007
Wheaten LLC Organization, Los Angeles, CA LLC 5% Or Greater Indirect Ownership Interest Nov 1, 2007 5%
Elmer Joseph Steier III Individual 5% Or Greater Indirect Ownership InterestPresident and Ceo Nov 1, 2007 20%
Jjla LLC Organization, Louisville, KY LLC 5% Or Greater Indirect Ownership Interest Nov 1, 2007 20%

Facilities with the same owner 64

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

View all 64

Practitioners & affiliated clinicians

Practitioners 1

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.

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": "1185926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680566400000",
    "number": "1891985131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "198 OLD FARMERS RD",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370434032",
            "telephone_number": "931-358-2900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "198 OLD FARMERS RD",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370434032",
            "telephone_number": "931-358-2900",
            "fax_number": "931-358-3821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LP CLARKSVILLE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-01",
        "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",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "TN",
            "license": "191",
            "primary": true
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TN",
            "license": "191",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Signature HealthCARE of Clarksville",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Signature HealthCARE of Clarksville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clarksville, TN

Sources for this page

Verify at the official NPI Registry.