Organization Active NPI

Trend Health and Rehab of Brookhaven

  • Skilled Nursing Facility
  • Brookhaven, MS
National Provider Identifier
1134711450
Registry record updated Feb 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
TREND HEALTH AND REHAB OF BROOKHAVEN
Practice address
525 Brookman Dr
Brookhaven, MS 39601-2326
Phone
(601) 833-2330
NPI assigned
Feb 8, 2021
Last updated
Feb 24, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2021

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

Authorized official

Name
Mr. Charles Bruce Kelly
Title
Managing Member
Phone
(601) 499-0899

Specialties & licenses 1

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

Addresses

Primary practice location

525 Brookman Dr
Brookhaven, MS 39601-2326

Mailing address

125 Fountains Blvd
Madison, MS 39110-6344

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210420000218 MS Part A Provider - Skilled Nursing Facility 2466860101 Practice locations: Brookhaven, MS

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1134711450. Details of each certification follow.

Skilled nursing facility certification: CCN 255162

Legal name
TREND HEALTH AND REHAB OF BROOKHAVEN
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Apr 1, 1993
Last certification
Oct 10, 2024
Beds
60
Ownership / control type
Limited Liability Corporation
Organization structure
LLCProprietary
Incorporated
Jan 25, 2021 in MS
Enrollment address
525 Brookman Drive
Brookhaven, MS 39601-2326
Nursing home name
TREND HEALTH AND REHAB OF BROOKHAVEN
Affiliated entity
TREND CONSULTANTS

Care Compare: Nursing home

Medicare Care Compare
Listed as
Trend Health and Rehab of BrookhavenCCN 255162 · All quality measures
Overall star rating
5 of 5
Health inspections
4 of 5
Staffing
5 of 5
Quality measures
2 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Apr 1, 1993
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
6052.5 residents per day on average
Chain
Trend Consultants15 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
25D0671195Trend Health and Rehab of Brookhaven525 Brookman Drive, Brookhaven, MS 39601Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 5

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

NameRoleSinceShare
Dannie Barlow Individual Corporate DirectorDirector of Operations Apr 1, 2021 100%
Operational/Managerial Control Apr 1, 2021
Adp of the SNF Apr 1, 2021
Individual Adp of the SNF Jun 4, 2025
Lori Warnock Individual Corporate DirectorDirector of Finance Apr 1, 2021 100%
Individual Adp of the SNF Oct 7, 2025
Charles B Kelly Individual 5% Or Greater Direct Ownership Interest Apr 1, 2021 99%
Adp of the SNF Apr 1, 2021

Practitioners & affiliated clinicians

Practitioners 2

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 2

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": "1612742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614124800000",
    "number": "1134711450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 FOUNTAINS BLVD",
            "city": "MADISON",
            "state": "MS",
            "postal_code": "391106344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 BROOKMAN DR",
            "city": "BROOKHAVEN",
            "state": "MS",
            "postal_code": "396012326",
            "telephone_number": "601-833-2330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TREND HEALTH AND REHAB OF BROOKHAVEN",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-08",
        "last_updated": "2021-02-24",
        "certification_date": "2021-02-24",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "BRUCE",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "601-499-0899",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookhaven, MS

Sources for this page

Verify at the official NPI Registry.