LP Liberty, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

LP LIBERTY, LLC

Doing business as

Liberty Care & Rehabilitation Center

Practice address

616 S Wallace Wilkinson Blvd
Liberty, KY 42539-3344

Phone

(606) 787-6889

Fax

(606) 787-6891

NPI assigned

Jun 26, 2013

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 H Harrison

Title

Cfo

Phone

(502) 568-7800

Specialties & licenses 1

Addresses

Other names 1

• Liberty Care & Rehabilitation Center Doing business as

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1992145650. Details of each certification follow.

• CCN 185408 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 185408

Legal name

LP LIBERTY, LLC

Doing business as

LIBERTY CARE & REHABILITATION CENTER

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Jun 2, 1995

Last certification

Jun 14, 2024

Beds

97

Ownership / control type

Limited Liability Corporation

Multi-facility organization

Signature Healthcare

Organization structure

LLCProprietary

Incorporated

May 8, 2013 in DE

Enrollment address

616 S Wallace Wilkinson Blvd
Liberty, KY 42539-3344

Nursing home name

LIBERTY CARE & REHABILITATION CENTER

Affiliated entity

SIGNATURE HEALTHCARE

Listed as

Liberty Care & Rehabilitation CenterCCN 185408 · All quality measures

Overall star rating

1 of 5

Health inspections

1 of 5

Staffing

3 of 5

Quality measures

4 of 5

Type

Medicare and Medicaid

Ownership

For profit - Limited Liability company

Certified

Jun 2, 1995

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

9785.6 residents per day on average

Chain

Signature Healthcare67 facilities in the chain

Penalties (3 years)

4Fines totaling $65,196

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 64

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

• LP Albany LLC

  dba Clinton County Care & Rehabilitation Center

  • Skilled Nursing Facility
  • Albany, KY
  • NPI 1437340700

  Jjla LLC, Wheaten LLC

  CMS ownership
• LP Annville, LLC

  dba Signature Healthcare at Jackson Manor Rehab & Wellness Center

  • Skilled Nursing Facility
  • Annville, KY
  • NPI 1760853725

  Jjla LLC, Lpsnf LLC, Wheaten LLC

  CMS ownership
• LP Bardstown, LLC

  dba Signature Healthcare at Colonial Rehab & Wellness Center

  • Skilled Nursing Facility
  • Bardstown, KY
  • NPI 1548631070

  Jjla LLC, Lpsnf LLC, Wheaten LLC

  CMS ownership
• LP Beattyville LLC

  dba Lee County Care & Rehabilitation Center

  • Skilled Nursing Facility
  • Beattyville, KY
  • NPI 1255522520

  Jjla LLC, Signature Healthcare LLC, Wheaten LLC

  CMS ownership
• LP Bowling Green, LLC

  dba Signature HealthCARE of Bowling Green

  • Skilled Nursing Facility
  • Bowling Green, KY
  • NPI 1447674437

  Jjla LLC, Lpsnf LLC, Wheaten LLC

  CMS ownership
• LP Brodhead LLC

  dba Rockcastle Health and Rehabilitation Center

  • Skilled Nursing Facility
  • Brodhead, KY
  • NPI 1609053735

  Jjla LLC, Lpsnf LLC, SHC LP Holdings II LLC, Spring Holdings, LLC, Wheaten LLC

  CMS ownership
• LP Calhoun, LLC

  dba Riverside Care & Rehabilitation Center

  • Skilled Nursing Facility
  • Calhoun, KY
  • NPI 1932523602

  Jjla LLC, Lpsnf LLC, Wheaten LLC

  CMS ownership
• LP Calvert City, LLC

  dba Oakview Nursing & Rehabilitation Center

  • Skilled Nursing Facility
  • Calvert City, KY
  • NPI 1619218385

  Jjla LLC, Lpsnf LLC, Wheaten LLC

  CMS ownership
• LP Carrollton, LLC

  dba Signature Healthcare of Carrollton Rehab & Wellness Center

  • Skilled Nursing Facility
  • Carrollton, KY
  • NPI 1134599525

  Jjla LLC, Lpsnf LLC, Wheaten LLC

  CMS ownership
• LP Columbia Ky, LLC

  dba Signature Healthcare at Summit Manor Rehab & Wellness Center

  • Skilled Nursing Facility
  • Columbia, KY
  • NPI 1255701397

  Jjla LLC, Lpsnf LLC, Wheaten LLC

  CMS ownership
• LP Danville, LLC

  dba Danville Centre for Health & Rehabilitation

  • Skilled Nursing Facility
  • Danville, KY
  • NPI 1992129613

  Jjla LLC, Lpsnf LLC, Wheaten LLC

  CMS ownership
• LP E-Town, LLC

  dba Signature HealthCARE of Elizabethtown

  • Skilled Nursing Facility
  • Elizabethtown, KY
  • NPI 1922422690

  Jjla LLC, Lpsnf LLC, Signature Healthcare LLC, Wheaten LLC

  CMS ownership

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.

• Housam I Haddad, M.D.

  • Internal Medicine Physician
  • Liberty, KY
  • NPI 1467422253
  NPD (past)

Affiliated clinicians 2

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

• Housam I Haddad, M.D.

  • Internal Medicine Physician
  • Liberty, KY
  • NPI 1467422253

  Nursing home

  Care Compare affiliation
• Jared K Wilson, M.D.

  • Family Medicine Physician
  • Liberty, KY
  • NPI 1902876667

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1372204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680566400000",
    "number": "1992145650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "616 S WALLACE WILKINSON BLVD",
            "city": "LIBERTY",
            "state": "KY",
            "postal_code": "425393344",
            "telephone_number": "606-787-6889",
            "fax_number": "606-787-6891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "616 S WALLACE WILKINSON BLVD",
            "city": "LIBERTY",
            "state": "KY",
            "postal_code": "425393344",
            "telephone_number": "606-787-6889",
            "fax_number": "606-787-6891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LP LIBERTY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-26",
        "last_updated": "2023-04-04",
        "certification_date": "2023-04-04",
        "status": "A",
        "authorized_official_last_name": "HARRISON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "H",
        "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": "Liberty Care & Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Liberty Care & Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Molly Ledford
• Emily Salome Lemmon
• Liberty Drug Inc
• Liberty Medical Clinic
• Karen Faye Likins, APRN
• Kimberly Luttrell, AGPCNP
• David Michael Lutz
• Kyle Brent Mann, DMD
• Vickie L Marple, ARNP
• Masata, Inc. (Summit Counseling Services)

• Skilled Nursing Facility in Liberty, KY
• Providers in Liberty, KY by specialty
• Skilled Nursing Facility in Kentucky

• 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.