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SIGNATURE HEALTHCARE OF ROGERSVILLE
NPI 1104017490
Nursing Facility/Intermediate Care Facility in Rogersville, TN

Active since August 05, 2007CLIA 44D0659232 · Waiver
109 HIGHWAY 70 N, ROGERSVILLE, TN 37857(423) 272-3099(423) 272-6591 Get Directions Write a Review

NPPES record last updated: April 4, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Signature Healthcare Of Rogersville NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SIGNATURE HEALTHCARE OF ROGERSVILLE (NPI 1104017490) is a healthcare organization registered as a nursing facility/intermediate care facility in Rogersville, Tennessee and active in the NPI registry since August 2007. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists John Harrison, Cfo, as its authorized official.

NPPES Registry Identity

NPI1104017490
Entity TypeOrganization
Primary Taxonomy313M00000X
Legal Business NameLP ROGERSVILLE LLC
Location Address109 HIGHWAY 70 NRogersville, TN 37857-4001
Mailing Address12201 Bluegrass ParkwayLouisville, KY 40299-2361 · (502) 568-7800 · Fax (502) 568-7150
Phone(423) 272-3099
Fax(423) 272-6591
Organization SubpartYesParent: Lp Cr Holdings Llc
Authorized OfficialJohn HarrisonCfo · (502) 568-7800
Enumeration DateAugust 5, 2007
Last NPPES UpdateApril 4, 2023
NPPES CertifiedApril 4, 2023
✔ NPI 1104017490 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNursing Facility/Intermediate Care FacilityNursing & Custodial Care Facilities
Taxonomy Code313M00000X
License✔ Licensed in TN · 124
Definition
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.
Also ListedSkilled Nursing FacilityTaxonomy 314000000X · License 124 (TN)
109 HIGHWAY 70 N, Rogersville, TN 37857
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Other Names 1

Doing Business AsSignature Healthcare Of Rogersville

Other Identifiers 2

Medicaid7440320TN
Medicaid0445359TN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 44D0659232

LP Rogersville LLC D/B/A Signature Healthcare Of Rogersville · Rogersville, TN
Active · expires Aug 31, 2026
CLIA Number44D0659232
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorBarbara Clark
Laboratory Phone(423) 272-3099
Laboratory LocationLP Rogersville LLC D/B/A Signature Healthcare Of Rogersville109 Highway 70 North, Rogersville, TN 37857
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. RACHEL ANN PHILLIPS FNP-BC
Nurse Practitioner (Family)
109 HIGHWAY 70 N
ROGERSVILLE, TN 37857
Hawkins County (423) 272-3099
JENNIFER CARLISLE MCKEOWN ANP-BC
Nurse Practitioner
109 HIGHWAY 70 N
ROGERSVILLE, TN 37857
Hawkins County (423) 272-3099
LAKITA MAE RAMSEY NP-C
Nurse Practitioner
109 HIGHWAY 70 N
ROGERSVILLE, TN 37857
Hawkins County (423) 272-3099
JANET LEIGH DUGGER MSOTR/L, CPAM
Occupational Therapist
109 HIGHWAY 70 N
ROGERSVILLE, TN 37857
Hawkins County (423) 272-3099
CLAIREDALE TUMULAK PT
Physical Medicine & Rehabilitation
109 HIGHWAY 70 N
ROGERSVILLE, TN 37857
Hawkins County (423) 272-3099
MELANIE WINEGAR FNP
Nurse Practitioner
109 HIGHWAY 70 N
ROGERSVILLE, TN 37857
Hawkins County (423) 272-3099
HQM OF ROGERSVILLE, LLC
Skilled Nursing Facility
109 HIGHWAY 70 N
ROGERSVILLE, TN 37857
Hawkins County (423) 272-3099

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is LP Rogersville LLC's NPI number?

The NPI number for LP Rogersville LLC is 1104017490. It was assigned to this organization in the NPPES registry on August 5, 2007. The provider is doing business as Signature Healthcare Of Rogersville.

Where is LP Rogersville LLC located?

LP Rogersville LLC is located at 109 Highway 70 N, Rogersville, TN 37857. The listed phone number is (423) 272-3099.

What is LP Rogersville LLC's specialty?

The primary specialty registered for this NPI is Nursing Facility/Intermediate Care Facility with taxonomy code 313M00000X.

Does LP Rogersville LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 44D0659232) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does LP Rogersville LLC accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of North Carolina and 3 other insurers list LP Rogersville LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for LP Rogersville LLC was last updated on April 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.