Organization
LP ELIZABETHTON LLC
Active
Parent organization
LP CR HOLDINGS LLC
Other names
Signature HealthCARE of Elizabethton Rehab & Wellness 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
1200 SPRUCE LN, ELIZABETHTON, TN 37643-4301
(423) 543-3202
(423) 543-6249
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
27
TN
314000000X
Skilled Nursing Facility
27
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0445217
—
TN
05
—
7440568
—
TN
Enumeration date
08/01/2007
Last updated
04/04/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us