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Contact Information

NORTHBROOKE HEALTHCARE AND REHAB CENTER LLC
121 PHYSICIANS DR
JACKSON, TN38305
 Phone: 731-664-5050
 Fax: 731-664-4890
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

314000000X A1[8] Skilled Nursing Facility
 

Nursing Facility/Intermediate Care Facility

313M00000X A3[10] Other Nursing Facility
Indicates primary specialty

NPI Profile & details for NORTHBROOKE HEALTHCARE AND REHAB CENTER LLC

NPI Number 1811953656
LBN Legal business name NORTHBROOKE HEALTHCARE AND REHAB CENTER LLC
Authorized official ROBIN BRADLEY - (SECRETARY)
Entity Organization
Organization subpart 1 Yes
Enumeration date 04/21/2006
Last updated 05/03/2021 - About 5 years ago
Identifiers
TN License # 0000000366
TN License # 0366
TN Medicaid 744-0588
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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