Organization Active NPI

Allenbrooke SNF Operations LLC

  • Skilled Nursing Facility
  • Memphis, TN
National Provider Identifier
1376433227
Registry record updated Jul 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
ALLENBROOKE SNF OPERATIONS LLC
Practice address
3933 Allenbrooke CV
Memphis, TN 38118-1866
Phone
(901) 795-2444
NPI assigned
Jul 3, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2025

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

Authorized official

Name
Joseph Lieberman
Title
Vice President of Procurement
Phone
(646) 275-4510

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

3933 Allenbrooke CV
Memphis, TN 38118-1866

Mailing address

3933 Allenbrooke CV
Memphis, TN 38118-1866
Phone (901) 795-2444

Other names 1

  • Delta Blues Health & Rehabilitation Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260202002350 TN Part A Provider - Skilled Nursing Facility 2163900994

Skilled nursing facility certification: CCN 445485

Legal name
ALLENBROOKE SNF OPERATIONS LLC
Doing business as
DELTA BLUES HEALTH & REHABILITATION
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
May 9, 2007
Last certification
Jan 13, 2022
Beds
180
Ownership / control type
Limited Liability Corporation
Most recent change of ownership
Nov 1, 2025
Organization structure
LLCProprietary
Enrollment address
3933 Allenbrooke CV
Memphis, TN 38118-1866
Nursing home name
DELTA BLUES HEALTH & REHABILITATION
Affiliated entity
LYON HEALTHCARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Delta Blues Health & RehabilitationCCN 445485
Overall star rating
2 of 5
Health inspections
2 of 5
Staffing
1 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
May 9, 2007
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
180151.0 residents per day on average
Chain
Lyon Healthcare11 facilities in the chain
Penalties (3 years)
1Fines totaling $8,281

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 27

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

NameRoleSinceShare
Individual Indirect Ownership Interest Nov 1, 2025 0.12%
Organization, Woodmere, NY LLC, Holding company, Owned by another organization or individual Indirect Ownership Interest Nov 1, 2025 1%
Sitn Trust Organization, Las Vegas, NV Owned by another organization or individual Indirect Ownership Interest Nov 1, 2025 2.3%
Dana a Nash Individual Operational/Managerial Control Nov 1, 2025
Adp of the SNF Nov 1, 2025
Hitn Trust Organization, Las Vegas, NV Owned by another organization or individual Indirect Ownership Interest Nov 1, 2025 44.6%
Daniel a Gottesman Individual Trustee of the SNF Nov 1, 2025
MJL 2024 Family Trust Organization, West Hempstead, NY Indirect Ownership Interest Nov 1, 2025 1.25%
SSTN Trust Organization, Las Vegas, NV Owned by another organization or individual Indirect Ownership Interest Nov 1, 2025 44.6%
Organization, West Hempstead, NY LLC, Investment firm, Owned by another organization or individual Indirect Ownership Interest Nov 1, 2025 2.5%
Organization, Woodmere, NY LLC, Owned by another organization or individual Indirect Ownership Interest Nov 1, 2025 2.5%
Memphis 2 Opco Holdco LLC Organization, Woodmere, NY LLC Operational/Managerial Control Oct 31, 2025
Direct Ownership Interest Nov 1, 2025 100%
BTF TN Holdings LLC Organization, Woodmere, NY LLC, Owned by another organization or individual Indirect Ownership Interest Nov 1, 2025 47%
Dillion C Carver Individual Operational/Managerial Control Nov 1, 2025
Managing Control - Governing BodyRegional Director of Operations Nov 1, 2025
Adp of the SNF Nov 1, 2025
Joseph E Lieberman Individual Managing Control - Governing BodyLLC Manager Nov 1, 2025
JNL 2024 Fam TR Organization, West Hempstead, NY Indirect Ownership Interest Nov 1, 2025 1.25%
Lion TN Holdings LLC Organization, Woodmere, NY LLC, Owned by another organization or individual Indirect Ownership Interest Nov 1, 2025 47%
Steven a Schwartz Individual Managing Control - Governing BodyLLC Manager Nov 1, 2025
Shimon Idels Individual Operational/Managerial Control Nov 1, 2025
Managing Control - Governing BodyLLC Manager Mar 1, 2025
Adp of the SNF Nov 1, 2025
Michael Botwinick Individual Managing Control - Governing BodyLLC Manager Nov 1, 2025
Indirect Ownership Interest Nov 1, 2025 1%
Richie Anderson Individual Operational/Managerial Control Nov 1, 2025
Managing Control - Governing BodyAdministrator Nov 1, 2025
Adp of the SNF Nov 1, 2025
Memphis 2 SNF Opco Holdco Manager LLC Organization, Woodmere, NY LLC Operational/Managerial Control Oct 31, 2025
Eptn Trust Organization, Las Vegas, NV Owned by another organization or individual Indirect Ownership Interest Nov 1, 2025 2.3%
Laronda Gant Individual Operational/Managerial Control Nov 1, 2025
Adp of the SNF Nov 1, 2025
Jonathan Lustbader Individual Trustee of the SNF Nov 1, 2025
Barry Zoelick Individual Adp of the SNF Nov 1, 2025
Andrew Lustbader Individual Trustee of the SNF Nov 1, 2025
Organization, Woodmere, NY Indirect Ownership Interest Nov 1, 2025 2.38%

Owners & managing parties with NPI records 1

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

Practitioners & affiliated clinicians

Affiliated clinicians 1

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": "1751500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751500800000",
    "number": "1376433227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3933 ALLENBROOKE CV",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381181866",
            "telephone_number": "901-795-2444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3933 ALLENBROOKE CV",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381181866",
            "telephone_number": "901-795-2444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLENBROOKE SNF OPERATIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-03",
        "last_updated": "2025-07-03",
        "certification_date": "2025-07-03",
        "status": "A",
        "authorized_official_last_name": "LIEBERMAN",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "VICE PRESIDENT OF PROCUREMENT",
        "authorized_official_telephone_number": "646-275-4510"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Delta Blues Health & Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.