NPIMap

Organization Active NPI

Big Creek Healthcare, Inc.

  • Skilled Nursing Facility
  • Pulaski, TN
National Provider Identifier
1033944350
Registry record updated Sep 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
BIG CREEK HEALTHCARE, INC.
Practice address
1245 E College St
Pulaski, TN 38478-4541
Phone
(931) 363-7548
NPI assigned
Sep 5, 2024
Last updated
Sep 5, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Soon Burnam
Title
Treasurer
Phone
(949) 540-1249

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NU Primary

Addresses

Primary practice location

1245 E College St
Pulaski, TN 38478-4541

Mailing address

1245 E College St
Pulaski, TN 38478-4541

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250228002982 TN Part A Provider - Skilled Nursing Facility 7810418217 Practice locations: Pulaski, TN

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1033944350. Details of each certification follow.

Skilled nursing facility certification: CCN 445443

Legal name
BIG CREEK HEALTHCARE, INC.
Doing business as
MEADOWBROOK HEALTHCARE AND REHABILITATION CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Apr 1, 2002
Last certification
Jun 9, 2021
Beds
83
Ownership / control type
Corporation
Multi-facility organization
Ensign Group
Organization structure
CorporationProprietary
Enrollment address
1245 E College St
Pulaski, TN 38478-4541
Nursing home name
MEADOWBROOK HEALTHCARE AND REHABILITATION CENTER
Affiliated entity
THE ENSIGN GROUP

Care Compare: Nursing home

Medicare Care Compare
Listed as
Meadowbrook Healthcare and Rehabilitation CenterCCN 445443 · All quality measures
Overall star rating
4 of 5
Health inspections
5 of 5
Staffing
1 of 5
Quality measures
2 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Apr 1, 2002
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
8362.5 residents per day on average
Chain
The Ensign Group342 facilities in the chain

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
44D0659442Big Creek Healthcare, Inc1245 East College Street, Pulaski, TN 38478Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 8

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Jennifer Raymer Individual Operational/Managerial Control Jan 1, 2025
Adp of the SNF Feb 19, 2025
Tyler Albrechtsen Individual Corporate OfficerPresident of Rocky Top Healthcare Aug 8, 2024
Corporate DirectorDirector of Big Creek Healthcare Aug 8, 2024
Donald Vollmer Individual Adp of the SNF Jan 1, 2025
The Ensign Group Inc Organization, San Juan Capistrano, CA Corporation 5% Or Greater Indirect Ownership Interest Aug 8, 2024 100%
Ami Sato Individual Corporate OfficerTreasurer of Big Creek Healthcare Sep 9, 2024
Brent Thatcher Individual Corporate OfficerPresident of Big Creek Healthcare Aug 8, 2024
Rocky Top Healthcare LLC Organization, San Juan Capistrano, CA LLC, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Aug 8, 2024 100%
Soon Burnam Individual Corporate OfficerSecretary of Big Creek Healthcare Aug 8, 2024

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 8

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1725494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725494400000",
    "number": "1033944350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1245 E COLLEGE ST",
            "city": "PULASKI",
            "state": "TN",
            "postal_code": "384784541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1245 E COLLEGE ST",
            "city": "PULASKI",
            "state": "TN",
            "postal_code": "384784541",
            "telephone_number": "931-363-7548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIG CREEK HEALTHCARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-05",
        "last_updated": "2024-09-05",
        "certification_date": "2024-09-05",
        "status": "A",
        "authorized_official_last_name": "BURNAM",
        "authorized_official_first_name": "SOON",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "949-540-1249"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pulaski, TN

Sources for this page

Verify at the official NPI Registry.