LP HUNTSVILLE, LLC (NPI# 1578980470) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578980470 |
| Entity Type | Organization |
| Organization Name | LP HUNTSVILLE, LLC |
| Other Organization Name | SIGNATURE HEALTHCARE OF WHITESBURG GARDENS |
| Practice Address |
105 Teakwood Dr Sw Huntsville AL 35801-3454 |
| Practice Telephone | 2568815000 |
| Practice Fax Number | 2568818629 |
| Mailing Telephone | 2568815000 |
| Mailing Fax Number | 2568818629 |
| Enumeration Date | 2014-03-28 |
| Last Update Date | 2014-03-28 |
| Authorized Official Name | JOHN HARRISON (CFO) |
| Authorized Official Telephone | 5025687800 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Signature HealthCARE of Whitesburg Gardens | Doing Business As Name - Organization |
| Street Address |
105 TEAKWOOD DR SW |
| City | HUNTSVILLE |
| State | AL |
| Zip Code | 35801-3454 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629171293 | Charles Itoe Misori | Nurse Practitioner | 105 Teakwood Dr Sw, Huntsville, AL 35801-3454 | 2006-09-07 |
| 1255755039 | Whitesburg Gardens, LLC | Skilled Nursing Facility | 105 Teakwood Dr Sw, Huntsville, AL 35801-3454 | 2014-02-13 |
| 1366885063 | Christa Deanette Brockway | Nurse Practitioner | 105 Teakwood Dr Sw, Huntsville, AL 35801-3454 | 2013-04-11 |
| 1992089627 | Geetha Powers Jacob | Nurse Practitioner | 105 Teakwood Dr Sw, Huntsville, AL 35801-3454 | 2011-09-29 |
| 1427205749 | Kelly Smith | Occupational Therapist | 105 Teakwood Dr Sw, Huntsville, AL 35801-3454 | 2008-08-19 |
| 1316103914 | Bonnie Eversole | Physical Therapist | 105 Teakwood Dr Sw, Huntsville, AL 35801-3454 | 2008-08-03 |
| 1144484304 | Shaunda Pachelle Payne | Occupational Therapist | 105 Teakwood Dr Sw, Huntsville, AL 35801-3454 | 2008-07-16 |
| 1952565129 | Courtney Lohse Iv | Speech-Language Pathologist | 105 Teakwood Dr Sw, Huntsville, AL 35801-3454 | 2008-07-16 |
| 1750545927 | Brenda Smith | Speech-Language Pathologist | 105 Teakwood Dr Sw, Huntsville, AL 35801-3454 | 2008-07-16 |
| 1548424724 | Elizabeth D Greer | Speech-Language Pathologist | 105 Teakwood Dr Sw, Huntsville, AL 35801-3454 | 2008-07-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003422742 | Elena Mihaela Kruse | Nurse Practitioner | 415 Echurch St, Nw Suite 4, Huntsville, AL 35801 | 2020-09-18 |
| 1225657661 | Ashley Danielle Ford | Student in an Organized Health Care Education/Training Program | 301 Governors Drive Se, Huntsville, AL 35801 | 2020-04-15 |
| 1407417702 | Sasha J White | Specialist | 410 Governors Dr. Sw, Huntsville, AL 35801 | 2019-06-26 |
| 1003472978 | Gina Marie Delgado | Nurse Practitioner | Huntsville Hospital Cvicu, 101 Sivley Rd., Huntsville, AL 35801 | 2019-05-15 |
| 1366909863 | Lisa Starkey Suggs | Nurse Practitioner | 3500 Memorial Parkway S.w., Huntsville, AL 35801 | 2019-02-21 |
| 1902373277 | Kelly S Fisher LLC | Counselor | 300 Clinton Avenue, Suite 22 A, Huntsville, AL 35801 | 2018-10-25 |
| 1073097911 | Brittani B Hamrick | Psychologist | 203 Eastside Sq Ste C9, Huntsville, AL 35801 | 2018-09-17 |
| 1548748312 | Jane O. Orton, Licsw, LLC | Social Worker | 120 Holmes Ave Ne, Huntsville, AL 35801 | 2018-08-02 |
| 1184100661 | Regroup Psychological Services | Psychologist | 2006 Franklin St. Se, Suite 110, Huntsville, AL 35801 | 2018-07-17 |
| 1366968398 | Bennett Brent Smith | Physician Assistant | 825 Adams St. Se, Huntsville, AL 35801 | 2017-08-22 |
| Find all providers in zip 35801 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417360819 | Katrina Lovill | Skilled Nursing Facility | 1716 Ballard Dr Se, Huntsville, AL 35801-1619 | 2014-06-04 |
| 1407081557 | Stacie Peek Wilson | Skilled Nursing Facility | 2701 Meridian Street North, Huntsville, AL 35811 | 2009-05-19 |
| 1013184696 | Acts Retirement-life Communities Inc. | Skilled Nursing Facility | 1 Crown Cir, Huntsville, AL 35802-5004 | 2008-05-13 |
| 1720105851 | Scott Appalachian Industries, Inc. | Skilled Nursing Facility | 591 E Monticello Pike, Huntsville, TN 37756-4109 | 2007-03-23 |
| 1467515791 | Carlton Cove Inc. | Skilled Nursing Facility | 1 Carlton Cove Blvd Sw, Huntsville, AL 35802-5003 | 2006-12-18 |
| 1912084450 | Meadowview Healthcare and Rehab | Skilled Nursing Facility | 825 N Gaskill St, Huntsville, AR 72740-8968 | 2006-11-01 |
| 1992807747 | Hsmtx/huntsville, LLC | Skilled Nursing Facility | 2628 Milam St, Huntsville, TX 77340 | 2006-09-02 |
| 1447211255 | Nexion Health At Huntsville, Inc. | Skilled Nursing Facility | 1302 Nottingham St, Huntsville, TX 77340-5622 | 2006-03-31 |
| 1992782973 | Redstone Military Retirement Residence Association Inc | Skilled Nursing Facility | 12000 Turnmeyer Dr Se, Huntsville, AL 35803-3358 | 2005-12-29 |
| 1649252560 | Huntsville Nh Operations, LLC | Skilled Nursing Facility | 287 Baker St, Huntsville, TN 37756-3444 | 2005-11-16 |
| Find all providers in HUNTSVILLE | ||||
| City | HUNTSVILLE |
| Zip Code | 35801 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.