OrganizationActive
Lp Rogersville LLC
NPI 1104017490 · Nursing Facility/Intermediate Care Facility · Rogersville, TN
Provider details
- NPI number
- 1104017490
- Entity type
- Organization
- Primary specialty
- Nursing Facility/Intermediate Care FacilityNursing & Custodial Care Facilities
- Parent organization
- Lp Cr Holdings LLC
- Organization subpart
- Yes
- Authorized official
- John Harrison, Cfo(502) 568-7800
- License
- 124 (TN)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Nursing & Custodial Care Facilities
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
109 Highway 70 N
Rogersville, TN 37857-4001
Phone: (423) 272-3099
Fax: (423) 272-6591
Approximate (ZIP-level) locationGet directions
Mailing address
12201 Bluegrass Parkway
Louisville, KY 40299-2361
Other names (DBA / former)
- Doing business as
- Signature Healthcare of Rogersville
- Doing business as
- Signature Healthcare of Rogersville
Registry dates
- Enumerated
- 2007-08-05
- Last updated
- 2023-04-04
- Certified
- 2023-04-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.