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MOUNTAIN CITY CARE & REHABILITATION CENTER
NPI 1235320524
Nursing Facility/Intermediate Care Facility in Mountain City, TN

Active since August 05, 2007CLIA 44D0885668 · Waiver
919 MEDICAL PARK DR, MOUNTAIN CITY, TN 37683(423) 727-7800(423) 727-5508 Get Directions Write a Review

NPPES record last updated: April 4, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mountain City Care & Rehabilitation Center NPPES

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

MOUNTAIN CITY CARE & REHABILITATION CENTER (NPI 1235320524) is a healthcare organization registered as a nursing facility/intermediate care facility in Mountain City, Tennessee and active in the NPI registry since August 2007. The organization holds a CLIA Waiver certificate valid through April 27, 2028 and lists John Harrison, Cfo, as its authorized official.

NPPES Registry Identity

NPI1235320524
Entity TypeOrganization
Primary Taxonomy313M00000X
Legal Business NameLP MOUNTAIN CITY LLC
Location Address919 MEDICAL PARK DRMountain City, TN 37683-1042
Mailing Address12201 Bluegrass ParkwayLouisville, KY 40299-2361 · (502) 568-7800 · Fax (502) 568-7150
Phone(423) 727-7800
Fax(423) 727-5508
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 1235320524 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 · 140
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 140 (TN)
919 MEDICAL PARK DR, Mountain City, TN 37683
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Other Names 1

Doing Business AsMountain City Care & Rehabilitation Center

Other Identifiers 2

Medicaid0445214TN
Medicaid7440567TN

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 44D0885668

LP Mountain City LLC D/B/A Mountain City Care & Rehabilitation Center · Mountain City, TN
Active · expires Apr 27, 2028
CLIA Number44D0885668
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateApril 28, 2026
Certificate Expiration DateApril 27, 2028
Laboratory DirectorCherie Osborne
Laboratory Phone(423) 727-7800
Laboratory LocationLP Mountain City LLC D/B/A Mountain City Care & Rehabilitation Center919 Medical Park Drive, Mountain City, TN 37683
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 10

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

BRITTANY S HILL APN
Nurse Practitioner (Primary Care)
919 MEDICAL PARK DR
MOUNTAIN CITY, TN 37683
Johnson County (423) 727-7800
OVERHOME MEDICAL CARE PC
Physician Assistant (Medical)
919 MEDICAL PARK DR
MOUNTAIN CITY, TN 37683
Johnson County (423) 727-7800
ABODE CARE PARTNERS VB, LLC
Internal Medicine
919 MEDICAL PARK DR
MOUNTAIN CITY, TN 37683
Johnson County (800) 807-6555
ABODE CARE PARTNERS AL VB, LLC
Nurse Practitioner
919 MEDICAL PARK DR
MOUNTAIN CITY, TN 37683
Johnson County (800) 807-6555
JANICE S FREDERICKS LCSW
Social Worker (Clinical)
919 MEDICAL PARK DR
MOUNTAIN CITY, TN 37683
Johnson County (423) 282-1480
SHC MEDICAL PARTNERS OF TENNESSEE, LLC
Nurse Practitioner
919 MEDICAL PARK DR
MOUNTAIN CITY, TN 37683
Johnson County (423) 727-7800
TIFFANY HILL APRN
Nurse Practitioner (Family)
919 MEDICAL PARK DR
MOUNTAIN CITY, TN 37683
Johnson County (423) 727-7800
HQM OF MOUNTAIN CITY, LLC
Nursing Facility/Intermediate Care Facility
919 MEDICAL PARK DR
MOUNTAIN CITY, TN 37683
Johnson County (423) 727-7800

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 Mountain City LLC's NPI number?

The NPI number for LP Mountain City LLC is 1235320524. It was assigned to this organization in the NPPES registry on August 5, 2007. The provider is doing business as Mountain City Care & Rehabilitation Center.

Where is LP Mountain City LLC located?

LP Mountain City LLC is located at 919 Medical Park Dr, Mountain City, TN 37683. The listed phone number is (423) 727-7800.

What is LP Mountain City LLC's specialty?

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

Does LP Mountain City LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 44D0885668) is associated with this NPI, valid through April 27, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does LP Mountain City 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 2 other insurers list LP Mountain City 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 Mountain City 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.