Laurelbrook Sanitarium and School

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

License

00000000208 Issued in TN

Legal business name

LAURELBROOK SANITARIUM AND SCHOOL

Doing business as

Laurelbrook Nursing Home

Practice address

200 Sanitarium Circle
Dayton, TN 37321-4635

Phone

(423) 775-0771

Fax

(423) 834-9059

NPI assigned

Dec 15, 2006

Last updated

Nov 19, 2024By 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

Keith Wellman

Title

Administrator

Phone

(423) 775-0771

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Laurelbrook Nursing Home Doing business as

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1669534566. Details of each certification follow.

• CCN 445535 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 445535

Legal name

LAURELBROOK SANITARIUM AND SCHOOL

Doing business as

LAURELBROOK NURSING HOME

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Sep 19, 2019

Last certification

Oct 23, 2024

Beds

50

Ownership / control type

Nonprofit Corporation

Organization structure

CorporationNon-profit

Enrollment address

200 Sanitarium Cir
Dayton, TN 37321-4635

Nursing home name

LAURELBROOK NURSING HOME

Listed as

Laurelbrook Nursing HomeCCN 445535 · All quality measures

Overall star rating

2 of 5

Health inspections

1 of 5

Staffing

5 of 5

Quality measures

2 of 5

Type

Medicare and Medicaid

Ownership

Non profit - Church related

Certified

Sep 19, 2019

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

5048.6 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

All disclosed owners & managing parties 5

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.

• Torben Svendsen, D.O.

  • Family Medicine Physician
  • Dayton, TN
  • NPI 1700165081

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

Practitioners 1

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.

• Torben Svendsen, D.O.

  • Family Medicine Physician
  • Dayton, TN
  • NPI 1700165081
  NPD

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

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731974400000",
    "number": "1669534566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 CAMPUS DRIVE",
            "city": "DAYTON",
            "state": "TN",
            "postal_code": "373214635",
            "telephone_number": "423-775-0771",
            "fax_number": "423-775-6346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 SANITARIUM CIRCLE",
            "city": "DAYTON",
            "state": "TN",
            "postal_code": "373214635",
            "telephone_number": "423-775-0771",
            "fax_number": "423-834-9059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAURELBROOK SANITARIUM AND SCHOOL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-15",
        "last_updated": "2024-11-19",
        "certification_date": "2024-11-19",
        "status": "A",
        "authorized_official_last_name": "WELLMAN",
        "authorized_official_first_name": "KEITH",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "423-775-0771"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "TN",
            "license": "00000000208",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7440119",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Laurelbrook Nursing Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lacy C. Kinney, PA-C
• Lori Layne Kinzalow, PT
• L M Smith Center for Dental Health
• Paige Lamphier
• Edmund Lane, MD
• Lba Medical Services LLC
• Jennifer Aileen Lee, MD
• Christina Lequan, PA
• Elizabeth Anne Lewis, MA, ATC, LAT
• Hailey K Liew, NP

• Nursing Facility/Intermediate Care Facility in Dayton, TN
• Providers in Dayton, TN by specialty
• Nursing Facility/Intermediate Care Facility in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2024; 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.