Organization Active NPI

Willowbrook Healthcare Group, LLC

Doing business as Willowbrook Healthcare

  • Skilled Nursing Facility
  • Carlisle, KY
National Provider Identifier
1033943428
Registry record updated Aug 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
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, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2024

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)CodeLicenseStatePrimary
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 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
LLCProprietary
Enrollment address
2323 Concrete Rd
Carlisle, KY 40311-9707
Nursing home name
WILLOWBROOK HEALTHCARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Willowbrook HealthcareCCN 185489 · All quality measures
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
May 14, 2025
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
7140.6 residents per day on average

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
18D2022779Willowbrook Healthcare Group, LLC2323 Concrete Road, Carlisle, KY 40311Certificate of waiverMar 6, 2027

National Provider Directory

National Provider Directory

Locations

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.

NameRoleSinceShare
Brian Chatham Individual Adp of the SNF Feb 1, 2025
Veronica Anderson Individual Adp of the SNF Feb 1, 2025
Jalme Petersen Individual Adp of the SNF Feb 1, 2025
Jay M Frances Individual 5% Or Greater Direct Ownership Interest Feb 1, 2025 50%
Managing Control - Governing BodyMember Feb 1, 2025
Hargis & Associates, LLC Organization, Russellville, KY LLC, Consulting firm Adp of the SNF Feb 1, 2025
Barry Chatham Individual Adp of the SNF Feb 1, 2025
Arnie Martin Individual Adp of the SNF Feb 1, 2025
Sarah McIntosh Individual Adp of the SNF Feb 1, 2025
Forwood E Hargis Individual Adp of the SNF Feb 1, 2025
Mollyanne Frances Individual 5% Or Greater Direct Ownership Interest Feb 1, 2025 50%
Managing Control - Governing BodyMember Feb 1, 2025
Proactive Medical Review and Consultants LLC Organization, Evansville, IN LLC, Consulting firm Adp of the SNF Feb 1, 2025
Nicholas County Fiscal Court Organization, Carlisle, KY Adp of the SNF Feb 1, 2025
Stephen Toadvine Individual Adp of the SNF Feb 1, 2025
Karen Kreil Individual Adp of the SNF Feb 1, 2025
Debbie Fuller Individual Adp of the SNF Feb 1, 2025
Stephen Chatham Individual Adp of the SNF Feb 1, 2025
Calhoun & Company PLLC Organization, Hopkinsville, KY LLC, Consulting firm Adp of the SNF Feb 1, 2025
Roy T Baber Individual Operational/Managerial Control Feb 1, 2025
Adp of the SNF Feb 1, 2025
Legacy Health Services Inc Organization, Martin, TN Corporation, Management services company 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.

Facilities with the same owner 4

Facilities that share an organizational owner with 5% or greater ownership or operational control.

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.

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

Verify at the official NPI Registry.