Brandenburg Opco LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

BRANDENBURG OPCO LLC

Doing business as

Brandenburg Nursing and Rehabilitation Center

Practice address

814 Old Ekron Rd
Brandenburg, KY 40108-1149

Phone

(270) 422-2148

Fax

(270) 422-4791

NPI assigned

Oct 2, 2018

Last updated

Sep 1, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Moshe Kelman

Title

Managing Member

Phone

(270) 422-2148

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Brandenburg Nursing and Rehabilitation Center Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1467937748. Details of each certification follow.

• CCN 185353 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 185353

Legal name

BRANDENBURG OPCO LLC

Doing business as

BRANDENBURG NURSING AND REHABILITATION CENTER

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Aug 1, 1992

Last certification

Mar 20, 2025

Beds

57

Ownership / control type

Limited Liability Corporation

Organization structure

LLCProprietary

Incorporated

Apr 27, 2018 in KY

Enrollment address

814 Old Ekron Rd
Brandenburg, KY 40108-1149

Nursing home name

BRANDENBURG NURSING AND REHABILITATION CENTER

Listed as

Brandenburg Nursing and Rehabilitation CenterCCN 185353 · All quality measures

Overall star rating

3 of 5

Health inspections

4 of 5

Staffing

1 of 5

Quality measures

3 of 5

Type

Medicare and Medicaid

Ownership

For profit - Limited Liability company

Certified

Aug 1, 1992

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

5752.9 residents per day on average

Processed by Care Compare on Aug 1, 2026.

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 10

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

Owners & managing parties with NPI records 1

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

• Benjamin S Smith, MD

  • Family Medicine Physician
  • Hardinsburg, KY
  • NPI 1366445108

  Contracted Managing Employee

  CMS ownership

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.

• Suryachandra S Patel, M.D.

  • Family Medicine Physician
  • Irvington, KY
  • NPI 1447393483
  NPD (past)
• Benjamin S Smith, MD

  • Family Medicine Physician
  • Hardinsburg, KY
  • NPI 1366445108
  NPD (past)

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Suryachandra S Patel, M.D.

  • Family Medicine Physician
  • Irvington, KY
  • NPI 1447393483

  Nursing home

  Care Compare affiliation
• Benjamin S Smith, MD

  • Family Medicine Physician
  • Hardinsburg, KY
  • NPI 1366445108

  Nursing home

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1538438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661990400000",
    "number": "1467937748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "814 OLD EKRON RD",
            "city": "BRANDENBURG",
            "state": "KY",
            "postal_code": "401081149",
            "telephone_number": "270-422-2148",
            "fax_number": "270-422-4791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "814 OLD EKRON RD",
            "city": "BRANDENBURG",
            "state": "KY",
            "postal_code": "401081149",
            "telephone_number": "270-422-2148",
            "fax_number": "270-422-4791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRANDENBURG OPCO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-02",
        "last_updated": "2022-09-01",
        "certification_date": "2022-09-01",
        "status": "A",
        "authorized_official_last_name": "KELMAN",
        "authorized_official_first_name": "MOSHE",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "270-422-2148"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "100334",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100578260",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.brandenburgnursingandrehab.com/",
            "affiliation": "N",
            "address_1": "814 Old Ekron Rd",
            "city": "Brandenburg",
            "state": "KY",
            "country_code": "US",
            "postal_code": "401081149",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Brandenburg Nursing and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Brandenburg Nursing and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jeanetta Lee Bosley, MD
• Brandenburg Chiropractic Inc.
• Brandenburg Custom Meds LLC
• Brandenburg Family Dentistry
• Brandenburg Health Facilities LP (Brandenburg Nursing and Rehabilitation Center)
• Brandenburg Pharmacy Care LLC
• Bridgette Ann Brown, D.C.
• Markeesha Danielle Bruner, APRN, FNP
• Dana Carol Buren, OTR
• Alicia Burgess

• Skilled Nursing Facility in Brandenburg, KY
• Providers in Brandenburg, KY by specialty
• Skilled Nursing Facility in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2022; 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.

Verify at the official NPI Registry.