BROOKEWOOD NURSING CENTER INC (NPI# 1063414035) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063414035 |
| Entity Type | Organization |
| Organization Name | BROOKEWOOD NURSING CENTER INC |
| Other Organization Name | BROOKEWOOD NURSING CENTER |
| Practice Address |
332 River Rd Decatur TN 37322-7800 |
| Practice Telephone | 4233343002 |
| Practice Fax Number | 4233345591 |
| Enumeration Date | 2005-08-10 |
| Last Update Date | 2011-12-06 |
| Authorized Official Name | MS. MARY LU FLORY (VP OPERATIONS) |
| Authorized Official Telephone | 7709934000 |
| Authorized Official Credential | RN NHA HR |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 044 5278 | 05 |
| Other Name | Type Code |
|---|---|
| Brookewood Nursing Center | Doing Business As Name - Organization |
| Street Address |
332 RIVER RD |
| City | DECATUR |
| State | TN |
| Zip Code | 37322-7800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396308508 | Decatur Operating Group LLC | Skilled Nursing Facility | 332 River Rd, Decatur, TN 37322-7800 | 2019-04-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225547805 | William Edward Moore | Counselor | 365 S No Pone Valley Road, Decatur, TN 37322 | 2017-09-26 |
| 1518012269 | Decatur Will Sav Inc | Pharmacy | 17619 Hwy 58 N, Decatur, TN 37322 | 2007-01-24 |
| 1053484121 | Manvesh Nath Sinha | Internal Medicine | 305 River Road, Decatur, TN 37322 | 2006-11-16 |
| 1568902922 | Jamie Bird | Nurse Practitioner | 305 River Road, Decatur, TN 37322 | 2017-03-06 |
| 1457475683 | Roger Harrison | Pharmacist | 17619 Hwy 58 N, Decatur, TN 37322 | 2007-03-16 |
| 1275693921 | Larry Gene Crisp | Nurse Practitioner | 389 River Rd, Decatur, TN 37322-0157 | 2006-12-11 |
| 1134729965 | Jamie Mclemore | Nurse Practitioner | 17619 Hwy 58 North, Decatur, TN 37322-3732 | 2020-10-30 |
| 1730556655 | Johnaca Templeton | Occupational Therapist | 3088 Centerpoint Rd, Decatur, TN 37322-4631 | 2015-08-26 |
| 1457733321 | Melissa Miller | Registered Nurse | 13181 N Nopone Valley Rd, Decatur, TN 37322-4883 | 2015-06-26 |
| 1235689316 | Lori Williams | Health Educator | 572b County Road 188, Decatur, TN 37322-5036 | 2016-10-12 |
| Find all providers in zip 37322 | ||||
| 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 |
|---|---|---|---|---|
| 1396308508 | Decatur Operating Group LLC | Skilled Nursing Facility | 332 River Rd, Decatur, TN 37322-7800 | 2019-04-15 |
| 1083132641 | Decatur Healthcare, LLC | Skilled Nursing Facility | 322 River Road, Decatur, TN 38322 | 2017-09-05 |
| 1649722943 | City of Ennis | Skilled Nursing Facility | 701 W Bennett Road, Decatur, TX 76234-3817 | 2016-11-03 |
| 1134458920 | Pruitthealth - Decatur, LLC | Skilled Nursing Facility | 3200 Panthersville Road, Decatur, GA 30034-3831 | 2009-12-08 |
| 1346419397 | Senior Care Resources, Inc. | Skilled Nursing Facility | 701 Bennett Rd, Decatur, TX 76234-3817 | 2008-02-25 |
| 1356476154 | Adams County Memorial Hospital | Skilled Nursing Facility | 1300 Mercer Ave, Decatur, IN 46733-2407 | 2007-02-22 |
| 1417095266 | Lincoln Manor, Inc. | Skilled Nursing Facility | 2650 N Monroe St, Decatur, IL 62526-3251 | 2007-02-02 |
| 1083630487 | Fair Havens Christian Home, Inc. | Skilled Nursing Facility | 1790 S Fairview Ave, Decatur, IL 62521-4010 | 2006-07-15 |
| 1508818766 | Ggnsc Decatur II LLC | Skilled Nursing Facility | 4115 Glenwood Rd, Decatur, GA 30032-4727 | 2006-05-16 |
| 1669424057 | Ggnsc Decatur IIi LLC | Skilled Nursing Facility | 2787 N Decatur Rd, Decatur, GA 30033-5919 | 2006-05-16 |
| Find all providers in DECATUR | ||||
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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.