SIGNATURE HEALTHCARE OF SOUTH PITTSBURG REHAB & WELLNESS CENTER
NPI 1942490255
Nursing Facility/Intermediate Care Facility in South Pittsburg, TN

Active since August 01, 2007CLIA 44D0309746 · Waiver
4/5
Overall Rating
201 E 10TH ST, SOUTH PITTSBURG, TN 37380(423) 837-7981(423) 837-1814 Get Directions Write a Review

NPPES record last updated: April 4, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Signature Healthcare Of South Pittsburg Rehab & Wellness Center NPPES

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

SIGNATURE HEALTHCARE OF SOUTH PITTSBURG REHAB & WELLNESS CENTER (NPI 1942490255) is a healthcare organization registered as a nursing facility/intermediate care facility in South Pittsburg, 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

NPI1942490255
Entity TypeOrganization
Primary Taxonomy313M00000X
Legal Business NameLP SOUTH PITTSBURG LLC
Location Address201 E 10TH STSouth Pittsburg, TN 37380-1497
Mailing Address12201 Bluegrass ParkwayLouisville, KY 40299-2361 · (502) 568-7800 · Fax (502) 568-7150
Fax(423) 837-1814
Organization SubpartYesParent: Lp Cr Holdings Llc
Authorized OfficialJohn HarrisonCfo · (502) 568-7800
Enumeration DateAugust 1, 2007
Last NPPES UpdateApril 4, 2023
NPPES CertifiedApril 4, 2023
NPI 1942490255 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 · 176
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 176 (TN)
201 E 10TH ST, South Pittsburg, TN 37380

Other Names 1

Doing Business AsSignature Healthcare Of South Pittsburg Rehab & Wellness Center

Other Identifiers 2

Medicaid0445343TN
Medicaid7440312TN

Accepted 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 44D0309746

LP South Pittsburg LLC Dba Signature Healthcare Of South Pittsburg Rehab & Wellness Center · South Pittsburg, TN
Active · expires Aug 31, 2026
CLIA Number44D0309746
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorCathy Seabolt
Laboratory Phone(423) 837-7981
Laboratory LocationLP South Pittsburg LLC Dba Signature Healthcare Of South Pittsburg Rehab & Wellness Center201 East Tenth Street, South Pittsburg, TN 37380
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Nursing Home Quality Ratings CMS Care Compare

Quality ratings, staffing and inspection history for Signature Healthcare Of South Pittsburg Rehab & We (CMS certification number 445343), from CMS Care Compare.

Signature Healthcare Of South Pittsburg Rehab & We

Nursing home · South Pittsburg, TN
4/5 CMS Overall Rating
OwnershipFor profit - Limited Liability company
CMS Certification Number445343
Certified Beds165 beds85 residents per day on average
Medicare & Medicaid Participant SinceMarch 1, 1995
Resident & Family CouncilResident council
Automatic sprinkler system

CMS Star Ratings

Quality Measures
Based on a select set of clinical quality measures.
5/5
Long-Stay Quality
Quality of care delivered to long-term residents.
3/5
Short-Stay Quality
Quality of care delivered to short-term and rehabilitation residents.
5/5
Staffing
Based on nursing staff hours relative to resident needs.
4/5
Weighted Health Inspection Score
Lower scores are better; the score summarizes deficiencies found on recent inspections.
32.67
Ratings are assigned by CMS on a one-to-five star scale; five is the highest. Categories without a current CMS rating are not shown.

Staffing & Turnover

Total Nurse Staffing
nurse aide 1.78 · LPN 0.83 · RN 0.67
3.28 hrs per resident per day
Weekend Nurse Staffing
2.88 hrs per resident per day
Physical Therapist Staffing
0.05 hrs per resident per day
Nursing Staff Turnover
Share of nursing staff who left the facility within the past year.
20%
Registered Nurse Turnover
12.5%
Administrators Who Have Left
In the past year.
0
Higher staffing hours generally allow more direct care time per resident.

Inspections & Enforcement

Facility-Reported Incidents
1
Substantiated Complaints
6
Infection-Control Citations
1
Fines
1 totaling $7,900.75
Medicare Payment Denials
0
Total Penalties
1
Counts come from CMS inspections and complaint investigations over approximately the past three years. CMS Care Compare data as of October 1, 2024.

Other Providers at the Same Location NPPES 6

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

Nurse Practitioner
201 E 10TH ST
SOUTH PITTSBURG, TN 37380
Occupational Therapist
201 E 10TH ST
SOUTH PITTSBURG, TN 37380
Nurse Practitioner (Family)
201 E 10TH ST
S PITTSBURG, TN 37380
Nursing Facility/Intermediate Care Facility
201 E 10TH ST
SOUTH PITTSBURG, TN 37380
Nurse Practitioner (Family)
201 E 10TH ST
SOUTH PITTSBURG, TN 37380
Occupational Therapist
201 E 10TH ST
SOUTH PITTSBURG, TN 37380

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 South Pittsburg LLC's NPI number?

The NPI number for LP South Pittsburg LLC is 1942490255. It was assigned to this organization in the NPPES registry on August 1, 2007. The provider is doing business as Signature Healthcare Of South Pittsburg Rehab & Wellness Center.

Where is LP South Pittsburg LLC located?

LP South Pittsburg LLC is located at 201 E 10th St, South Pittsburg, TN 37380. The listed phone number is (423) 837-7981.

What is LP South Pittsburg LLC's specialty?

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

Does LP South Pittsburg LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 44D0309746) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is LP South Pittsburg LLC a Medicare-certified nursing home?

Yes. Signature Healthcare Of South Pittsburg Rehab & We is a Medicare-certified nursing home with 165 certified beds.

What quality rating does LP South Pittsburg LLC have?

CMS rates Signature Healthcare Of South Pittsburg Rehab & We 4 out of 5 stars overall on Care Compare. The full measure detail is in the Nursing Home Quality Ratings section above.

What insurance does LP South Pittsburg 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 South Pittsburg 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 South Pittsburg LLC was last updated on April 4, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.