Northbrooke Healthcare and Rehab Center LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

0000000366 Issued in TN

Legal business name

NORTHBROOKE HEALTHCARE AND REHAB CENTER LLC

Practice address

121 Physicians Dr
Jackson, TN 38305

Phone

(731) 664-5050

Fax

(731) 664-4890

NPI assigned

Apr 21, 2006

Last updated

May 3, 2021By the provider in NPPES

Organization subpart

Yes

Parent organization

AMERICAN HEALTH COMPANIES, LLCAs reported in NPPES

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

Authorized official

Name

Ms. Robin F Bradley

Title

Secretary

Phone

(615) 595-8383

Specialties & licenses 2

Addresses

Other identifiers 1

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.

• Jere D Hammond, MD

  • Internal Medicine Physician
  • Jackson, TN
  • NPI 1891763819
  NPD (past)
• Gregory Erwin Mitchell, MD

  • Family Medicine Physician
  • Jackson, TN
  • NPI 1871596973
  NPD (past)

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

{
    "created_epoch": "1145577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620000000000",
    "number": "1811953656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O, BOX 10",
            "city": "PARSONS",
            "state": "TN",
            "postal_code": "383630010",
            "telephone_number": "731-847-6343",
            "fax_number": "731-847-4200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 PHYSICIANS DR",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "38305",
            "telephone_number": "731-664-5050",
            "fax_number": "731-664-4890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHBROOKE HEALTHCARE AND REHAB CENTER LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AMERICAN HEALTH COMPANIES, LLC",
        "enumeration_date": "2006-04-21",
        "last_updated": "2021-05-03",
        "certification_date": "2021-05-03",
        "status": "A",
        "authorized_official_last_name": "BRADLEY",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "615-595-8383",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "TN",
            "license": "0366",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TN",
            "license": "0000000366",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "744-0588",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James Garrett Norris, DC
• Thomas Phillip Norsworthy, M.D.
• North Jackson Family Clinic Inc
• Northbrooke Health Care and Rehab Clinic
• Northbrooke Healthcare and Rehab Center
• Jordan Timothy Northrop
• Northside Medical Clinic, P.C.
• Norwood Family Eye Care, LLC
• Nothside Dental Center, PA
• Victor C Nwazue, M.D.

• Skilled Nursing Facility in Jackson, TN
• Providers in Jackson, TN by specialty
• Skilled Nursing Facility in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.