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LP CLEVELAND LLC NPI 1508057456


NPI Information

NPI: 1508057456
Provider Name: LP CLEVELAND LLC

Doing Business As: SIGNATURE HEALTHCARE OF CLEVELAND

Classification: Nursing Facility/Intermediate Care Facility - 313M00000X
Entity Type: Organization

CLIA Number: 44D0309409

Address:
2750 EXECUTIVE PARK NW
CLEVELAND, TN
ZIP 37312
Phone: (423) 476-4444
Get Directions

LP CLEVELAND LLC is a nursing facility intermediate care facility in Cleveland, TN. The provider is an institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals. LP CLEVELAND LLC NPI is 1508057456. The provider is registered as an organization entity type.
The provider Is Doing Business As Signature Healthcare Of Cleveland.

The provider's business location address is:

2750 EXECUTIVE PARK NW
CLEVELAND, TN
ZIP 37312-722
Phone: (423) 476-4444
Fax: (423) 472-4542

The provider's authorized official is John Harrison .
The authorized official title is Cfo and has the following contact phone number (502) 568-7800.

The CLIA number assigned to this NPI record is 44D0309409 - skilled nursing/nursing facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/6/2007 and was last updated on 10/2/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1314000000XSkilled Nursing Facility16TENNESSEENo
2313M00000XNursing Facility/Intermediate Care Facility16TENNESSEEYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10445369MEDICAIDTENNESSEE
2445369MEDICARE OSCAR/CERTIFICATIONTENNESSEE
36105420001MEDICARE NSC
47440513MEDICAIDTENNESSEE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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