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LP CLARKSVILLE LLC NPI 1891985131


NPI Information

NPI: 1891985131
Provider Name: LP CLARKSVILLE LLC

Doing Business As: SIGNATURE HEALTHCARE OF CLARKSVILLE

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

CLIA Number: 44D0946333

Address:
198 OLD FARMERS RD
CLARKSVILLE, TN
ZIP 37043
Phone: (931) 358-2900
Get Directions

LP CLARKSVILLE LLC is a nursing facility intermediate care facility in Clarksville, 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 CLARKSVILLE LLC NPI is 1891985131. The provider is registered as an organization entity type.
The provider Is Doing Business As Signature Healthcare Of Clarksville.

The provider's business location address is:

198 OLD FARMERS RD
CLARKSVILLE, TN
ZIP 37043-032
Phone: (931) 358-2900
Fax: (931) 358-3821

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 44D0946333 - skilled nursing facility/nursing facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/1/2007 and was last updated on 4/4/2023.


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 Facility191TENNESSEENo
2313M00000XNursing Facility/Intermediate Care Facility191TENNESSEEYes

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
10445448MEDICAIDTENNESSEE
27440143MEDICAIDTENNESSEE

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: 4/28/2024

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