NPIMap

Organization Active NPI

Hanalei River Holdings LLC

  • Skilled Nursing Facility
  • Jackson, TN
National Provider Identifier
1043046733
Registry record updated Sep 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
HANALEI RIVER HOLDINGS LLC
Practice address
121 Physicians Dr
Jackson, TN 38305-6011
Phone
(731) 664-5050
Fax
(731) 668-4890
NPI assigned
Sep 10, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2024

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

Authorized official

Name
Curtis S Rodriguez
Title
Manager
Phone
(858) 798-5700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

121 Physicians Dr
Jackson, TN 38305-6011

Mailing address

121 Physicians Dr
Jackson, TN 38305-6011
Phone (731) 664-5050

Other names 1

  • Northbrooke Post Acute Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250206001647 TN Part A Provider - Skilled Nursing Facility 5395275341 Practice locations: Jackson, TN

Skilled nursing facility certification: CCN 445401

Legal name
HANALEI RIVER HOLDINGS LLC
Doing business as
NORTHBROOKE POST ACUTE
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Aug 25, 1997
Last certification
Apr 16, 2025
Beds
120
Ownership / control type
Corporation
Most recent change of ownership
Jan 1, 2025
Organization structure
LLC
Enrollment address
121 Physicians Dr
Jackson, TN 38305-6011
Nursing home name
NORTHBROOKE POST ACUTE
Affiliated entity
LINKS HEALTHCARE GROUP

Care Compare: Nursing home

Medicare Care Compare
Listed as
Northbrooke Post AcuteCCN 445401
Overall star rating
1 of 5
Health inspections
2 of 5
Staffing
1 of 5
Quality measures
2 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Aug 25, 1997
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
120102.5 residents per day on average
Chain
Links Healthcare Group32 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 21

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

NameRoleSinceShare
Individual Adp of the SNF Dec 27, 2024
Toby Tilford Individual 5% Or Greater Indirect Ownership InterestManager Jan 1, 2025 46.6%
Operational/Managerial Control Jan 1, 2025
Individual Adp of the SNF Jan 2, 2025
Individual Adp of the SNF Dec 27, 2024
Organization, San Diego, CA LLC, For-profit Adp of the SNF Dec 27, 2024
Individual Adp of the SNF Dec 27, 2024
Individual Adp of the SNF Jan 2, 2025
Individual Adp of the SNF Dec 27, 2024
Individual Adp of the SNF Jan 2, 2025
Individual Adp of the SNF Dec 27, 2024
Scott Clawson Individual Indirect Ownership Interest Jan 1, 2025 4%
Individual Adp of the SNF Dec 31, 2024
Steven Earl Individual Indirect Ownership Interest Jan 1, 2025 0.8%
Jere D Hammond Individual Operational/Managerial Control Dec 27, 2024
Adp of the SNF Jan 2, 2025
121 Physicians Dr TN LLC Organization, New York, NY Created for acquisition, LLC, For-profit, Owned by another organization or individual 5% Or Greater Mortgage Interest Jan 1, 2025 100%
Adp of the SNF Dec 27, 2024
Links Healthcare Group LLC Organization, San Diego, CA LLC, For-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Jan 1, 2025 100%
Operational/Managerial Control Dec 27, 2024
Adp of the SNF Jan 2, 2025
George Munchow Individual Operational/Managerial Control Jan 1, 2025
Adp of the SNF Jan 1, 2025
Jack Sanofsky Individual Indirect Ownership Interest Jan 1, 2025 2%
Organization, Salt Lake City, UT Adp of the SNF Dec 27, 2024
Individual Adp of the SNF Dec 27, 2024
Curtis Rodriguez Individual 5% Or Greater Indirect Ownership InterestManager Jan 1, 2025 46.6%
Operational/Managerial Control Jan 1, 2025

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 30

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

View all 30

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 3

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": "1725926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725926400000",
    "number": "1043046733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 PHYSICIANS DR",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383056011",
            "telephone_number": "731-664-5050",
            "fax_number": "731-668-4890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 PHYSICIANS DR",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383056011",
            "telephone_number": "731-664-5050",
            "fax_number": "731-668-4890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HANALEI RIVER HOLDINGS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-10",
        "last_updated": "2024-09-10",
        "certification_date": "2024-09-10",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "CURTIS",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "858-798-5700"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northbrooke Post Acute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jackson, TN

Sources for this page

Verify at the official NPI Registry.