LP E-Town, LLC
Organization Active NPI Skilled Nursing Facility · Elizabethtown, KY
NPI 1922422690 · NPPES record last updated Jun 7, 2023
Key facts
- NPI
- 1922422690
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- Legal business name
- LP E-TOWN, LLC
- Practice address
- 1850 Veterans Way
Elizabethtown, KY 42701-2774 - Phone
- (270) 769-2363
- Fax
- (270) 769-1342
- NPI assigned
- Feb 14, 2014
- Organization subpart
- No
Authorized official
- Name
- Mr. John Harrison
- Title
- Cfo
- Phone
- (502) 568-7800
Facilities with the same owner 67
Practitioners 2
-
Leon Everett Butler Jr., M.D.
Affiliated clinicians 1
Medicare Care Compare: Nursing home
- Listed as
- Signature Healthcare of Elizabethtown
- Overall star rating
- ★★☆☆☆ 2 of 5
- Health inspections
- ★☆☆☆☆ 1 of 5
- Staffing
- ★★★☆☆ 3 of 5
- Quality measures
- ★★★★★ 5 of 5
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Sep 1, 1972
- Medicare certification status
- Active
- Certified beds
- 124 · 116.2 residents per day on average
- Chain
- Signature Healthcare
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 18D0326977 | LP E-Town, LLC D/B/a Signature Healthcare | Certificate of waiver | Aug 31, 2026 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
Skilled nursing facility certification: CCN 185118
- Legal name
- LP E-TOWN LLC
- Doing business as
- SIGNATURE HEALTHCARE OF ELIZABETHTOWN
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF distinct part
- Participating since
- Sep 1, 1972
- Last certification
- Oct 25, 2024
- Beds
- 124
- Ownership / control type
- Limited Liability Corporation
- Multi-facility organization
- Signature Healthcare
- Most recent change of ownership
- Apr 1, 2014
- Organization structure
- LLC · Proprietary
- Incorporated
- Feb 4, 2014 in DE
- Enrollment address
- 1850 Veterans Way
Elizabethtown, KY 42701-4945 - Nursing home name
- SIGNATURE HEALTHCARE OF ELIZABETHTOWN
- Affiliated entity
- SIGNATURE HEALTHCARE
All disclosed owners & managing parties 11
| Name | Role | Since | Share |
|---|---|---|---|
| Weslene Dillard |
W-2 Managing Employee |
Oct 3, 2021 | |
| Ira Smedra |
5% Or Greater Indirect Ownership Interest | Apr 1, 2014 | 12% |
| Asbr Holdings LLC |
5% Or Greater Indirect Ownership Interest | May 1, 2018 | 100% |
| Signature Healthcare LLC |
Operational/Managerial Control | Apr 1, 2014 | |
| SHC LP Holdings LLC |
5% Or Greater Indirect Ownership Interest | Apr 1, 2014 | 100% |
| Lpsnf LLC |
5% Or Greater Indirect Ownership Interest | Apr 1, 2014 | 74% |
| John H Harrison |
Corporate Officer |
Feb 2, 2014 | |
| SHC Ky Holdings LLC |
5% Or Greater Direct Ownership Interest | Apr 1, 2014 | 100% |
| Wheaten LLC |
5% Or Greater Indirect Ownership Interest | Apr 1, 2014 | 5% |
| Elmer Joseph Steier III |
5% Or Greater Indirect Ownership Interest | Apr 1, 2014 | 20% |
| Jjla LLC |
5% Or Greater Indirect Ownership Interest | Apr 1, 2014 | 20% |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20140310001344 | KY | Part a Provider - Skilled Nursing Facility | 7618107814 | Practice locations: Elizabethtown, KY |
National Provider Directory
Locations
1117 Woodland Dr
Elizabethtown, KY 42701
Phone (270) 769-2363
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Yes |
Addresses
Primary practice location
1850 Veterans Way
Elizabethtown, KY 42701-2774
Mailing address
12201 Bluegrass Pkwy
Louisville, KY 40299-2361
Phone (502) 568-7800
Other names
- Signature HealthCARE of Elizabethtown
Other providers in Elizabethtown, KY
- Lauren Lotz
- Louisville Optometric Centers III, PSC
- Louisville Optometric Centers III, PSC
- Madison Lowe
- Stefanae Shaelyn Loy
- Jayme-Khanh Y Lu-Garrigan
- Jenna M Lucas
- Kimberly Lynn Lucas
- Lumina of Elizabethtown
- Kristen Luongo
All providers in Elizabethtown, KY · Skilled Nursing Facility in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 7, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.