Active NPI
Allenbrooke SNF Operations LLC
- Skilled Nursing Facility
- Memphis, TN
National Provider Identifier
1376433227
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- LLC
- 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 & Rehabilitation
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- May 9, 2007
- Medicare certification status
- Active
- Certified beds
- 180
- Chain
- Lyon Healthcare
- Penalties (3 years)
- 1
National Provider Directory
National Provider DirectoryOwnership & 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.
| Name | Role | Since | Share |
|---|---|---|---|
| Indirect Ownership Interest | Nov 1, 2025 | 0.12% | |
| Indirect Ownership Interest | Nov 1, 2025 | 1% | |
| Sitn Trust | Indirect Ownership Interest | Nov 1, 2025 | 2.3% |
| Dana a Nash | Operational/Managerial Control | Nov 1, 2025 | |
| Adp of the SNF | Nov 1, 2025 | ||
| Hitn Trust | Indirect Ownership Interest | Nov 1, 2025 | 44.6% |
| Daniel a Gottesman | Trustee of the SNF | Nov 1, 2025 | |
| MJL 2024 Family Trust | Indirect Ownership Interest | Nov 1, 2025 | 1.25% |
| SSTN Trust | Indirect Ownership Interest | Nov 1, 2025 | 44.6% |
| Indirect Ownership Interest | Nov 1, 2025 | 2.5% | |
| Indirect Ownership Interest | Nov 1, 2025 | 2.5% | |
| Memphis 2 Opco Holdco LLC | Operational/Managerial Control | Oct 31, 2025 | |
| Direct Ownership Interest | Nov 1, 2025 | 100% | |
| BTF TN Holdings LLC | Indirect Ownership Interest | Nov 1, 2025 | 47% |
| Dillion C Carver | Operational/Managerial Control | Nov 1, 2025 | |
| Managing Control - Governing Body | Nov 1, 2025 | ||
| Adp of the SNF | Nov 1, 2025 | ||
| Joseph E Lieberman | Managing Control - Governing Body | Nov 1, 2025 | |
| JNL 2024 Fam TR | Indirect Ownership Interest | Nov 1, 2025 | 1.25% |
| Lion TN Holdings LLC | Indirect Ownership Interest | Nov 1, 2025 | 47% |
| Steven a Schwartz | Managing Control - Governing Body | Nov 1, 2025 | |
| Shimon Idels | Operational/Managerial Control | Nov 1, 2025 | |
| Managing Control - Governing Body | Mar 1, 2025 | ||
| Adp of the SNF | Nov 1, 2025 | ||
| Michael Botwinick | Managing Control - Governing Body | Nov 1, 2025 | |
| Indirect Ownership Interest | Nov 1, 2025 | 1% | |
| Richie Anderson | Operational/Managerial Control | Nov 1, 2025 | |
| Managing Control - Governing Body | Nov 1, 2025 | ||
| Adp of the SNF | Nov 1, 2025 | ||
| Memphis 2 SNF Opco Holdco Manager LLC | Operational/Managerial Control | Oct 31, 2025 | |
| Eptn Trust | Indirect Ownership Interest | Nov 1, 2025 | 2.3% |
| Laronda Gant | Operational/Managerial Control | Nov 1, 2025 | |
| Adp of the SNF | Nov 1, 2025 | ||
| Jonathan Lustbader | Trustee of the SNF | Nov 1, 2025 | |
| Barry Zoelick | Adp of the SNF | Nov 1, 2025 | |
| Andrew Lustbader | Trustee of the SNF | Nov 1, 2025 | |
| 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.
-
- Family Medicine Physician
- Memphis, TN
- NPI 1346291432
Adp of the SNF, Operational/Managerial Control
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2025; 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.