Active NPI
Allenbrooke Nursing and Rehabilitation Center, LLC
- Skilled Nursing Facility
- Memphis, TN
National Provider Identifier
1760411607
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 0000000231
- Legal business name
- ALLENBROOKE NURSING AND REHABILITATION CENTER, LLC
- Practice address
- 3933 Allenbrooke CV
Memphis, TN 38118-1866 - Phone
- (901) 795-2444
- Fax
- (901) 795-5378
- NPI assigned
- Jul 2, 2006
- Last updated
- Dec 8, 2023
- 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
- Mr. Norbert A Bennett
- Title
- Manager
- Phone
- (716) 662-4955
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 0000000231 | TN | Primary |
Addresses
Primary practice location
3933 Allenbrooke CV
Memphis, TN 38118-1866
Mailing address
PO Box 428
Orchard Park, NY 14127-0428
Phone (716) 662-4955
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0445485 | Medicaid | TN | |
| 7440602 | Medicaid | TN |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | ENDPOINT | Other | The White Stone Group d/b/a Vyne Medical |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20030616000010 | TN | Part A Provider - Skilled Nursing Facility | 9638089782 | Practice locations: Memphis, TN |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 44D0697672 | Allenbrooke Nursing and Rehabilitation Center | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
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.
-
- Family Medicine Physician
- Memphis, TN
- NPI 1346291432
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151798400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1701993600000",
"number": "1760411607",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 428",
"city": "ORCHARD PARK",
"state": "NY",
"postal_code": "141270428",
"telephone_number": "716-662-4955",
"fax_number": "716-667-9230"
},
{
"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",
"fax_number": "901-795-5378"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALLENBROOKE NURSING AND REHABILITATION CENTER, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-02",
"last_updated": "2023-12-08",
"certification_date": "2023-10-25",
"status": "A",
"authorized_official_last_name": "BENNETT",
"authorized_official_first_name": "NORBERT",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "716-662-4955",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "TN",
"license": "0000000231",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0445485",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7440602",
"state": "TN"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "ENDPOINT",
"affiliation": "Y",
"endpointDescription": "2.16.840.1.113883.17.8788.1",
"affiliationName": "The White Stone Group d/b/a Vyne Medical",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD eMDR",
"address_1": "100 Ashford Ctr N Ste 300",
"city": "Atlanta",
"state": "GA",
"country_code": "US",
"postal_code": "303384863",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Memphis, TN
- Sierra Allen, CGC
- Sydnie Rachel Allen, PH.D, LPC, MHSP
- Tracie Allen, PA-C
- Wanita L Allen
- Allen's Medical Massage (LaWanda S. Allen)
- Allenbrooke SNF Operations LLC (Delta Blues Health & Rehabilitation)
- Allergy Asthma Immunology Center, PLLC
- Allergyone, PLLC
- Hannah Alley, PHARMD
- Alliance Health Services Inc (Alliance Hospice)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.