Brookhaven Manor

LBN: Kingsport Nh Operations, Llc
Brookhaven Manor is an health care organization with primary practice located at 2035 Stonebrook Place , Kingsport TN 37660-4000. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Kingsport Nh Operations, Llc can be contacted via phone (423) 246-8934, or through Johnson, Judy L via phone (423) 246-8934.

Contact Information

Primary practice address
2035 Stonebrook Place Kingsport TN 37660-4000
Phone: (423) 246-8934
Fax: (423) 246-9280
Website:
Map and Directions
Authorized official contact:
Name: Johnson, Judy L
Phone: (423) 246-8934

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 0000000261 Tennessee

Profile Details

NPI number 1871580886
LBN Legal business name Kingsport Nh Operations, Llc
DBA Doing business as Brookhaven Manor
Authorized official Johnson, Judy L
Entity Organization
Organization subpart 1 No
Enumeration date Oct 4th, 2005
Last updated Nov 20th, 2007 - about 19 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871580886 NPPES
Tennessee MEDICAID 7440460
Tennessee MEDICAID 0445174

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