Brookhaven TN Opco LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

BROOKHAVEN TN OPCO LLC

Doing business as

Brookhaven Health and Rehabilitation

Practice address

2035 E Stonebrook PL
Kingsport, TN 37660-4000

Phone

(423) 246-8934

NPI assigned

Sep 28, 2018

Last updated

Feb 7, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

David Herskowitz

Title

Ceo

Phone

(212) 444-1991

Specialties & licenses 1

Addresses

Other names 1

• Brookhaven Health and Rehabilitation Doing business as

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1104301837. Details of each certification follow.

• CCN 445174 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 445174

Legal name

BROOKHAVEN TN OPCO LLC

Doing business as

ORCHARD VIEW POST-ACUTE AND REHABILITATION CENTER

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Jul 24, 1985

Last certification

Jan 8, 2025

Beds

180

Ownership / control type

Limited Liability Corporation

Multi-facility organization

Plainview Health Care

Most recent change of ownership

Feb 1, 2003

Organization structure

LLCProprietary

Incorporated

Sep 6, 2018 in DE

Enrollment address

2035 E Stonebrook PL
Kingsport, TN 37660-4000

Nursing home name

ORCHARDVIEW POST-ACUTE AND REHABILITATION CENTER

Affiliated entity

PLAINVIEW HEALTHCARE PARTNERS

Listed as

Orchardview Post-Acute and Rehabilitation CenterCCN 445174 · All quality measures

Overall star rating

2 of 5

Health inspections

2 of 5

Staffing

2 of 5

Quality measures

2 of 5

Type

Medicare and Medicaid

Ownership

For profit - Limited Liability company

Certified

Jul 24, 1985

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

18072.7 residents per day on average

Chain

Plainview Healthcare Partners9 facilities in the chain

Penalties (3 years)

5Fines totaling $94,905

Processed by Care Compare on Aug 1, 2026.

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

CLIA laboratory certificates

All disclosed owners & managing parties 6

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

Owners & managing parties with NPI records 1

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

• Juanchichos T Ventura, MD

  • Family Medicine Physician
  • Hawthorne, NV
  • NPI 1205998366

  Adp of the SNF

  CMS ownership

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.

• Juanchichos T Ventura, MD

  • Family Medicine Physician
  • Hawthorne, NV
  • NPI 1205998366
  NPD (past)

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Juanchichos T Ventura, MD

  • Family Medicine Physician
  • Hawthorne, NV
  • NPI 1205998366

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1538092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675728000000",
    "number": "1104301837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2071 FLATBUSH AVE STE 12",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112344340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2035 E STONEBROOK PL",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376604000",
            "telephone_number": "423-246-8934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKHAVEN TN OPCO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-28",
        "last_updated": "2023-02-07",
        "certification_date": "2023-02-07",
        "status": "A",
        "authorized_official_last_name": "HERSKOWITZ",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "212-444-1991"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brookhaven Health and Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Brookhaven Health and Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Anthony Lee Broglio, M.D.
• Chantel Ruth Brooks, DIPL. O.M. L.AC
• Haven Crawley Brooks, M.S., CCC-SLP
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• Skilled Nursing Facility in Kingsport, TN
• Providers in Kingsport, TN by specialty
• Skilled Nursing Facility in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2023; 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.

Verify at the official NPI Registry.