CL SNF LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

CL SNF LLC

Doing business as

River Brook Healthcare Center

Practice address

390 Sweat St
Homerville, GA 31634-2302

Phone

(912) 487-5328

Fax

(912) 487-2460

NPI assigned

May 25, 2016

Last updated

Jan 12, 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

Bruce E Wertheim

Title

Manager

Phone

(813) 347-9888

Specialties & licenses 1

Addresses

Other names 1

• River Brook Healthcare Center Doing business as

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1831547314. Details of each certification follow.

• CCN 115635 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 115635

Legal name

CL SNF LLC

Doing business as

RIVER BROOK HEALTHCARE CENTER

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

May 1, 1996

Last certification

Feb 29, 2024

Beds

92

Ownership / control type

Limited Liability Corporation

Multi-facility organization

BEACON HEALTHCARE

Organization structure

LLCProprietary

Incorporated

Apr 27, 2016 in FL

Enrollment address

390 Sweat St
Homerville, GA 31634-2302

Nursing home name

RIVER BROOK HEALTHCARE CENTER

Affiliated entity

BEACON HEALTH MANAGEMENT

Listed as

River Brook Healthcare CenterCCN 115635 · All quality measures

Overall star rating

1 of 5

Health inspections

1 of 5

Staffing

2 of 5

Quality measures

1 of 5

Type

Medicare and Medicaid

Ownership

For profit - Limited Liability company

Certified

May 1, 1996

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

9265.7 residents per day on average

Chain

Beacon Health Management11 facilities in the chain

Penalties (3 years)

3Fines totaling $16,720

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.

Facilities with the same owner 9

Facilities that share an organizational owner with 5% or greater ownership or operational control.

• Am SNF LLC

  dba Altamaha Healthcare Center

  • Skilled Nursing Facility
  • Jesup, GA
  • NPI 1487001343

  Beacon Health Management LLC, PWW Healthcare, LLC, RWC Healthcare LLC

  CMS ownership
• Cochran SNF Operator LLC

  dba Bryant Health and Rehabilitation Center

  • Skilled Nursing Facility
  • Cochran, GA
  • NPI 1306370267

  Beacon Health Management LLC, PWW Healthcare, LLC

  CMS ownership
• CV SNF LLC

  dba Crossview Care Center

  • Skilled Nursing Facility
  • Pineview, GA
  • NPI 1851757744

  Beacon Health Management LLC, PWW Healthcare, LLC

  CMS ownership
• FS SNF LLC

  dba Folkston Park Care and Rehabilitation Center

  • Skilled Nursing Facility
  • Folkston, GA
  • NPI 1467999573

  Beacon Health Management LLC, PWW Healthcare, LLC

  CMS ownership
• HZ SNF LLC

  dba Hazlehurst Court Care and Rehabilitation Center

  • Skilled Nursing Facility
  • Hazlehurst, GA
  • NPI 1851837934

  Beacon Health Management LLC, PWW Healthcare, LLC

  CMS ownership
• Providence SNF Operator LLC

  • Skilled Nursing Facility
  • Thomaston, GA
  • NPI 1114448271

  Beacon Health Management LLC, PWW Healthcare, LLC

  CMS ownership
• PW SNF LLC

  dba Pleasant View Nursing Center

  • Skilled Nursing Facility
  • Metter, GA
  • NPI 1790133114

  Beacon Health Management LLC, PWW Healthcare, LLC, RWC Healthcare LLC

  CMS ownership
• TN SNF LLC

  dba Tattnall Healthcare Center

  • Skilled Nursing Facility
  • Reidsville, GA
  • NPI 1518315936

  Beacon Health Management LLC, PWW Healthcare, LLC, RWC Healthcare LLC

  CMS ownership
• Wadley SNF Operator LLC

  dba Comfort Creek Nursing and Rehabilitation Center

  • Skilled Nursing Facility
  • Wadley, GA
  • NPI 1255815304

  Beacon Health Management LLC

  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.

• Charles Semones, M.D.

  • Family Medicine Physician
  • Homerville, GA
  • NPI 1639110687
  NPD (past)

Affiliated clinicians 1

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

• Charles Semones, M.D.

  • Family Medicine Physician
  • Homerville, GA
  • NPI 1639110687

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1464134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641945600000",
    "number": "1831547314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "390 SWEAT ST",
            "city": "HOMERVILLE",
            "state": "GA",
            "postal_code": "316342302",
            "telephone_number": "912-487-5328",
            "fax_number": "912-487-2460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "390 SWEAT ST",
            "city": "HOMERVILLE",
            "state": "GA",
            "postal_code": "316342302",
            "telephone_number": "912-487-5328",
            "fax_number": "912-487-2460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CL SNF LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-25",
        "last_updated": "2022-01-12",
        "certification_date": "2022-01-12",
        "status": "A",
        "authorized_official_last_name": "WERTHEIM",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "813-347-9888"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "River Brook Healthcare Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Benjamin F. Tanner II DMD PC
• Kimberly Davis Bennett, NP-C
• Heather Marie Blackburn, PA-C
• Betty W Bryant
• Centerwell Health Services USA LLC (CenterWell Home Health)
• Betsy Daugharty Clifton, FNP-C
• Clinch County Board of Education
• Clinch County Board of Health
• Clinch County Hospital Authority (Clinch Memorial Family Practice)
• Clinch County Hospital Authority

• Skilled Nursing Facility in Homerville, GA
• Providers in Homerville, GA by specialty
• Skilled Nursing Facility in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 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.