Organization
LP JAMESTOWN LLC
Active
Parent organization
LP CR HOLDINGS LLC
Other names
Signature HealthCARE of Fentress County
Organization subpart
Yes
Provider details
NPI number
Legal business name
LP CR HOLDINGS LLC
Authorized official
MR. JOHN HARRISON (CFO)
(502) 568-7800
Entity
Organization
Contact information
Practice address
208 N DUNCAN ST, JAMESTOWN, TN 38556-3101
(931) 879-5859
(931) 879-4624
Mailing address
12201 BLUEGRASS PKWY, LOUISVILLE, KY 40299-2361
(502) 568-7800
(502) 568-7150
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
80
TN
314000000X
Skilled Nursing Facility
80
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0445362
—
TN
05
—
7440067
—
TN
Enumeration date
08/01/2007
Last updated
04/04/2023
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