Organization
LP MOUNTAIN CITY LLC
Active
Parent organization
LP CR HOLDINGS LLC
Other names
Mountain City Care & Rehabilitation Center
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
919 MEDICAL PARK DR, MOUNTAIN CITY, TN 37683-1042
(423) 727-7800
(423) 727-5508
Mailing address
12201 BLUEGRASS PARKWAY, LOUISVILLE, KY 40299-2361
(502) 568-7800
(502) 568-7150
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
140
TN
314000000X
Skilled Nursing Facility
140
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0445214
—
TN
05
—
7440567
—
TN
Enumeration date
08/05/2007
Last updated
04/04/2023
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