Active NPI
Willowbrook Healthcare Group, LLC
Doing business as Willowbrook Healthcare
- Skilled Nursing Facility
- Carlisle, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- WILLOWBROOK HEALTHCARE GROUP, LLC
- Doing business as
- Willowbrook Healthcare
- Practice address
- 2323 Concrete Rd
Carlisle, KY 40311-9707 - Phone
- (731) 588-4302
- Fax
- (731) 588-4303
- NPI assigned
- Aug 28, 2024
- Last updated
- Aug 28, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jay Frances
- Title
- Member
- Phone
- (314) 605-9939
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
2323 Concrete Rd
Carlisle, KY 40311-9707
Mailing address
2323 Concrete Rd
Carlisle, KY 40311-9707
Phone (731) 588-4302
Other names 1
- Willowbrook Healthcare
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250225000039 | KY | Part A Provider - Skilled Nursing Facility | 8426578246 | Practice locations: Carlisle, KY |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1033943428. Details of each certification follow.
Skilled nursing facility certification: CCN 185489
- Legal name
- WILLOWBROOK HEALTHCARE GROUP LLC
- Doing business as
- WILLOWBROOK HEALTHCARE
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- May 14, 2025
- Last certification
- May 14, 2025
- Beds
- 104 (71 certified)
- Ownership / control type
- Corporation
- Multi-facility organization
- Legacy Health Services
- Organization structure
- LLC
- Enrollment address
- 2323 Concrete Rd
Carlisle, KY 40311-9707 - Nursing home name
- WILLOWBROOK HEALTHCARE
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Willowbrook Healthcare
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- May 14, 2025
- Medicare certification status
- Active
- Certified beds
- 71
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 18D2022779 | Willowbrook Healthcare Group, LLC | Certificate of waiver | Mar 6, 2027 |
National Provider Directory
National Provider DirectoryLocations
2323 Concrete Rd
Carlisle, KY 40311
Phone (859) 289-3492
7003 Chadwick Dr
Ste 287
Brentwood, TN 37027
Phone (615) 330-3802
Ownership & related parties
All disclosed owners & managing parties 19
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Brian Chatham | Adp of the SNF | Feb 1, 2025 | |
| Veronica Anderson | Adp of the SNF | Feb 1, 2025 | |
| Jalme Petersen | Adp of the SNF | Feb 1, 2025 | |
| Jay M Frances | 5% Or Greater Direct Ownership Interest | Feb 1, 2025 | 50% |
| Managing Control - Governing Body | Feb 1, 2025 | ||
| Hargis & Associates, LLC | Adp of the SNF | Feb 1, 2025 | |
| Barry Chatham | Adp of the SNF | Feb 1, 2025 | |
| Arnie Martin | Adp of the SNF | Feb 1, 2025 | |
| Sarah McIntosh | Adp of the SNF | Feb 1, 2025 | |
| Forwood E Hargis | Adp of the SNF | Feb 1, 2025 | |
| Mollyanne Frances | 5% Or Greater Direct Ownership Interest | Feb 1, 2025 | 50% |
| Managing Control - Governing Body | Feb 1, 2025 | ||
| Proactive Medical Review and Consultants LLC | Adp of the SNF | Feb 1, 2025 | |
| Nicholas County Fiscal Court | Adp of the SNF | Feb 1, 2025 | |
| Stephen Toadvine | Adp of the SNF | Feb 1, 2025 | |
| Karen Kreil | Adp of the SNF | Feb 1, 2025 | |
| Debbie Fuller | Adp of the SNF | Feb 1, 2025 | |
| Stephen Chatham | Adp of the SNF | Feb 1, 2025 | |
| Calhoun & Company PLLC | Adp of the SNF | Feb 1, 2025 | |
| Roy T Baber | Operational/Managerial Control | Feb 1, 2025 | |
| Adp of the SNF | Feb 1, 2025 | ||
| Legacy Health Services Inc | Operational/Managerial Control | Feb 1, 2025 | |
| Adp of the SNF | Feb 1, 2025 |
Owners & managing parties with NPI records 2
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
dba Nicholas County Ambulance Service
- Ambulance
- Carlisle, KY
- NPI 1104247063
Adp of the SNF
Facilities with the same owner 4
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
dba Brighton Cornerstone Healthcare
- Skilled Nursing Facility
- Madisonville, KY
- NPI 1588049019
Legacy Health Services Inc
-
- Skilled Nursing Facility
- Flemingsburg, KY
- NPI 1285186924
Legacy Health Services Inc
-
dba Cedargate Healthcare
- Skilled Nursing Facility
- Poplar Bluff, MO
- NPI 1740684851
Legacy Health Services Inc
-
- Skilled Nursing Facility
- Nashville, IL
- NPI 1508019548
Legacy Health Services Inc
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Medicine Physician
- Cynthiana, KY
- NPI 1356314199
Affiliated clinicians 1
Clinicians who list this facility as an affiliation in Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1724803200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1724803200000",
"number": "1033943428",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2323 CONCRETE RD",
"city": "CARLISLE",
"state": "KY",
"postal_code": "403119707",
"telephone_number": "731-588-4302",
"fax_number": "731-588-4303"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2323 CONCRETE RD",
"city": "CARLISLE",
"state": "KY",
"postal_code": "403119707",
"telephone_number": "731-588-4302",
"fax_number": "731-588-4303"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WILLOWBROOK HEALTHCARE GROUP, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-08-28",
"last_updated": "2024-08-28",
"certification_date": "2024-08-28",
"status": "A",
"authorized_official_last_name": "FRANCES",
"authorized_official_first_name": "JAY",
"authorized_official_title_or_position": "MEMBER",
"authorized_official_telephone_number": "314-605-9939"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Willowbrook Healthcare",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Carlisle, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.