Active NPI
LP Louisville East LLC
- Skilled Nursing Facility
- Louisville, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 100428
- Legal business name
- LP LOUISVILLE EAST LLC
- Practice address
- 2529 Six Mile LN
Louisville, KY 40220-2934 - Phone
- (502) 491-5560
- Fax
- (502) 491-0214
- NPI assigned
- Aug 5, 2007
- Organization subpart
- Yes
- Parent organization
- LP CR HOLDINGS LLC
NPPES NPI Registry
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
- (561) 627-0664
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 100428 | KY | Primary |
Addresses
Primary practice location
2529 Six Mile LN
Louisville, KY 40220-2934
Mailing address
2979 Pga Blvd
Palm Beach Gardens, FL 33410-2911
Phone (561) 627-0664
Other names 1
- Signature HealthCARE of East Louisville
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070905000181 | KY | Part A Provider - Skilled Nursing Facility | 3870686017 | Practice locations: Louisville, KY |
Skilled nursing facility certification: CCN 185350
- Legal name
- LP LOUISVILLE EAST LLC
- Doing business as
- SIGNATURE HEALTHCARE OF EAST LOUISVILLE
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF distinct part
- Participating since
- Jun 1, 1992
- Last certification
- Aug 23, 2024
- Beds
- 128
- Ownership / control type
- Limited Liability Corporation
- Multi-facility organization
- Signature Healthcare
- Organization structure
- LLC
- Incorporated
- Nov 8, 2006 in DE
- Enrollment address
- 2529 Six Mile LN
Louisville, KY 40220-2934 - Nursing home name
- SIGNATURE HEALTHCARE OF EAST LOUISVILLE
- Affiliated entity
- SIGNATURE HEALTHCARE
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Signature Healthcare of East Louisville
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Jun 1, 1992
- Medicare certification status
- Active
- Certified beds
- 128
- Chain
- Signature Healthcare
- Penalties (3 years)
- 2
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 |
|---|---|---|---|
| 18D0690085 | LP Louisville East, LLC Dba Signature Healthcare | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider DirectoryOwnership & related parties
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Ira Smedra | 5% Or Greater Indirect Ownership Interest | Nov 1, 2007 | 12% |
| Agemo Holdings LLC | 5% Or Greater Indirect Ownership Interest | Oct 1, 2016 | 100% |
| Lpsnf II LLC | 5% Or Greater Indirect Ownership Interest | Oct 1, 2016 | 74% |
| Signature Healthcare LLC | Other | May 7, 2018 | |
| John H Harrison | Corporate Officer | Nov 1, 2007 | |
| Wheaten LLC | 5% Or Greater Indirect Ownership Interest | Nov 1, 2007 | 5% |
| Elmer Joseph Steier III | 5% Or Greater Indirect Ownership Interest | Nov 1, 2007 | 20% |
| LP CR Holdings LLC | 5% Or Greater Direct Ownership Interest | Nov 1, 2007 | 100% |
| Kara Meredith | W-2 Managing Employee | Apr 1, 2024 | |
| Jjla 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.
-
- Skilled Nursing Facility
- Albany, KY
- NPI 1437340700
Agemo Holdings LLC, Jjla LLC, Lpsnf II LLC, Wheaten LLC
-
- Skilled Nursing Facility
- Beattyville, KY
- NPI 1255522520
Agemo Holdings LLC, Jjla LLC, LP CR Holdings LLC, Lpsnf II LLC, Wheaten LLC
-
- Skilled Nursing Facility
- Bowling Green, KY
- NPI 1447674437
Jjla LLC, Wheaten 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 1891749305
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": "1186272000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1680566400000",
"number": "1982895256",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2979 PGA BLVD",
"city": "PALM BEACH GARDENS",
"state": "FL",
"postal_code": "334102911",
"telephone_number": "561-627-0664",
"fax_number": "561-627-2867"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2529 SIX MILE LN",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402202934",
"telephone_number": "502-491-5560",
"fax_number": "502-491-0214"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LP LOUISVILLE EAST LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "LP CR HOLDINGS LLC",
"enumeration_date": "2007-08-05",
"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": "561-627-0664",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "KY",
"license": "100428",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Signature HealthCARE of East Louisville",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Signature HealthCARE of East Louisville",
"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 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.