Organization Active NPI

Buffalo River Healthcare LLC

Doing business as Perry County Nursing Home

  • Nursing Facility/Intermediate Care Facility
  • Linden, TN
National Provider Identifier
1164565206
Registry record updated Jun 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
License
0000000201 Issued in TN
Legal business name
BUFFALO RIVER HEALTHCARE LLC
Doing business as
Perry County Nursing Home
Practice address
127 East Brooklyn Avenue
Linden, TN 37096-3515
Phone
(931) 589-2134
Fax
(931) 589-3847
NPI assigned
Feb 15, 2007
Last updated
Jun 27, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2008

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

Authorized official

Name
Mr. Brent Hinson, RN
Title
Administrator
Phone
(931) 589-2134

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X 0000000201 TN Primary

Addresses

Primary practice location

127 East Brooklyn Avenue
Linden, TN 37096-3515

Mailing address

127 East Brooklyn Avenue
Linden, TN 37096-3515
Phone (931) 589-2134

Other names 1

  • Perry County Nursing Home Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101216000438 TN Part A Provider - Skilled Nursing Facility 6901094051 Practice locations: Linden, TN

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1164565206. Details of each certification follow.

Skilled nursing facility certification: CCN 445503

Legal name
BUFFALO RIVER HEALTHCARE LLC
Doing business as
PERRY COUNTY NURSING HOME
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Apr 1, 2011
Last certification
Dec 12, 2024
Beds
114
Ownership / control type
Limited Liability Corporation
Organization structure
LLCProprietary
Incorporated
Nov 20, 2010 in TN
Enrollment address
127 E Brooklyn Ave
Linden, TN 37096-3375
Nursing home name
PERRY COUNTY NURSING HOME

Care Compare: Nursing home

Medicare Care Compare
Listed as
Perry County Nursing HomeCCN 445503 · All quality measures
Overall star rating
3 of 5
Health inspections
4 of 5
Staffing
2 of 5
Quality measures
1 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Apr 1, 2011
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
11485.5 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
44D0856021Perry County Nursing Home127 E Brooklyn Ave, Linden, TN 37096Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 1

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

NameRoleSinceShare
Brent Hinson Individual 5% Or Greater Direct Ownership Interest Nov 10, 2010
Corporate Director Nov 10, 2010
W-2 Managing Employee Nov 10, 2010

Practitioners & affiliated clinicians

Practitioners 3

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 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": "1171497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214524800000",
    "number": "1164565206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 EAST BROOKLYN AVENUE",
            "city": "LINDEN",
            "state": "TN",
            "postal_code": "370963515",
            "telephone_number": "931-589-2134",
            "fax_number": "931-589-3847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 EAST BROOKLYN AVENUE",
            "city": "LINDEN",
            "state": "TN",
            "postal_code": "370963515",
            "telephone_number": "931-589-2134",
            "fax_number": "931-589-3847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUFFALO RIVER HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-15",
        "last_updated": "2008-06-27",
        "status": "A",
        "authorized_official_last_name": "HINSON",
        "authorized_official_first_name": "BRENT",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "931-589-2134",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "TN",
            "license": "0000000201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Perry County Nursing Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Linden, TN

Sources for this page

Verify at the official NPI Registry.