B'Nai B'Rith Home & Hospital for the Aged, Inc.
Organization Active NPI Skilled Nursing Facility · Cordova, TN
NPI 1265414429 · NPPES record last updated Jan 14, 2015
Key facts
- NPI
- 1265414429
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- License
- 246 (TN)
- Legal business name
- B'NAI B'RITH HOME & HOSPITAL FOR THE AGED, INC.
- Practice address
- 36 Bazeberry Rd
Cordova, TN 38018-7754 - Phone
- (901) 758-0036
- NPI assigned
- Nov 15, 2005
- Organization subpart
- No
Authorized official
- Name
- Mr. Bobby Gene Meadows III, LNHA
- Title
- Executive Director
- Phone
- (901) 758-0036
Practitioners 1
-
Elbert Edwin Hines III, M.D.
Affiliated clinicians 1
-
Elbert Edwin Hines III, M.D.
Medicare Care Compare: Nursing home
- Listed as
- Memphis Jewish Home
- Overall star rating
- ★★★★☆ 4 of 5
- Health inspections
- ★★★★☆ 4 of 5
- Staffing
- ★★★★☆ 4 of 5
- Quality measures
- ★★☆☆☆ 2 of 5
- Type
- Medicare and Medicaid
- Ownership
- Non profit - Corporation
- Certified
- Jul 2, 1992
- Medicare certification status
- Active
- Certified beds
- 160 · 136.7 residents per day on average
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 44D0933643 | Memphis Jewish Home | Certificate of waiver | Sep 17, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
Skilled nursing facility certification: CCN 445293
- Legal name
- B'NAI B'RITH HOME & HOSPITAL FOR THE AGED, INC.
- Doing business as
- MEMPHIS JEWIS HOME & REHAB
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Jul 2, 1992
- Last certification
- Nov 22, 2024
- Beds
- 160
- Ownership / control type
- Nonprofit Corporation
- Organization structure
- Corporation · Non-profit
- Incorporated
- Dec 27, 1954 in TN
- Enrollment address
- 36 Bazeberry Rd
Cordova, TN 38018 - Nursing home name
- MEMPHIS JEWISH HOME
All disclosed owners & managing parties 1
| Name | Role | Since | Share |
|---|---|---|---|
| Bobby Meadows |
Operational/Managerial Control |
Apr 3, 2013 | 100% |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050623000047 | TN | Part a Provider - Skilled Nursing Facility | 7719922418 | Practice locations: Cordova, TN |
National Provider Directory
Locations
36 Bazeberry Rd
Cordova, TN 38018
Phone (901) 746-3803
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 246 | TN | Yes |
Addresses
Primary practice location
36 Bazeberry Rd
Cordova, TN 38018-7754
Mailing address
36 Bazeberry Rd
Cordova, TN 38018-7754
Phone (901) 758-0036
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7440553 | Medicaid | TN |
Other names
- Memphis Jewish Home
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All providers in Cordova, TN · Skilled Nursing Facility in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 14, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.