Organization Active NPI

Brosis Management of Catawba County

  • Skilled Nursing Facility
  • Conover, NC
National Provider Identifier
1891722187
Registry record updated Oct 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
NH0603 Issued in NC
Legal business name
BROSIS MANAGEMENT OF CATAWBA COUNTY
Practice address
920 4TH Street SW
Conover, NC 28613-9679
Phone
(828) 695-8282
Fax
(828) 695-8218
NPI assigned
Jun 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2011

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

Authorized official

Name
Mr. Joshua Anthony Sherrill
Title
Owner
Phone
(828) 695-8282

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NH0603 NC Primary

Addresses

Primary practice location

920 4TH Street SW
Conover, NC 28613-9679

Mailing address

P.O. Box 1718
920 4TH Street SW
Conover, NC 28613-9679
Phone (828) 695-8282

Other identifiers 2

IdentifierTypeStateIssuer
3405516MedicaidNC
340613UMedicaidNC

Other names 1

  • Conover Nursing & Rehabilitation Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20030828000001 NC Part A Provider - Skilled Nursing Facility 6305757709 Practice locations: Conover, NC

Skilled nursing facility certification: CCN 345516

Legal name
BROSIS MANAGEMENT OF CATAWBA COUNTY
Doing business as
CONOVER NURSING AND REHABILITATION CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jun 27, 2002
Last certification
Feb 21, 2025
Beds
90
Ownership / control type
Corporation
Organization structure
CorporationProprietary
Incorporated
Mar 3, 1999 in NC
Enrollment address
920 4TH Street SW
Conover, NC 28613-3001
Nursing home name
CONOVER NURSING AND REHABILITATION CENTER

Care Compare: Nursing home

Medicare Care Compare
Listed as
Conover Nursing And Rehabilitation CenterCCN 345516
Overall star rating
5 of 5
Health inspections
5 of 5
Staffing
5 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Jun 27, 2002
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
9076.4 residents per day on average

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
34D1077593Conover Nursing & Rehabilitation920 4TH St SW, Conover, NC 28613Certificate of waiverDec 13, 2027

National Provider Directory

National Provider Directory

Locations

920 4th St SW
Conover, NC 28613
Phone (828) 322-6995

Ownership & related parties

All disclosed owners & managing parties 7

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

NameRoleSinceShare
Individual Adp of the SNF Aug 1, 2024
Organization, Newton, NC LLC Adp of the SNF Mar 3, 1999
Indirect Ownership Interest Mar 3, 1999
Organization, Winnabow, NC LLC Adp of the SNF Sep 15, 2025
Indirect Ownership Interest May 30, 2003
Organization, Clayton, NC Corporation Adp of the SNF Sep 15, 2025
Indirect Ownership Interest May 27, 1998
Todd Roper Individual Operational/Managerial Control Mar 21, 2012
Adp of the SNF Mar 21, 2012
Joshua Anthony Sherrill Individual 5% Or Greater Direct Ownership Interest Jul 3, 2002 50%
Corporate Officer Jul 5, 2002 50%
Corporate Director Aug 28, 2003 50%
Trustee of the SNF Jul 3, 2002
Adp of the SNF Jul 3, 2002
Direct Ownership Interest Jul 3, 2002 50%
Jason Evan Sherrill Individual 5% Or Greater Direct Ownership Interest Jul 3, 2002 50%
Corporate Officer Jul 5, 2002 50%
Corporate Director Aug 28, 2003 50%
Trustee of the SNF Jul 3, 2002
Adp of the SNF Jul 3, 2002
Direct Ownership Interest Jul 3, 2002 50%

Practitioners & affiliated clinicians

Affiliated clinicians 1

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

NPI Registry JSON

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

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318377600000",
    "number": "1891722187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 1718",
            "address_2": "920 4TH STREET SW",
            "city": "CONOVER",
            "state": "NC",
            "postal_code": "286139679",
            "telephone_number": "828-695-8282",
            "fax_number": "828-695-8218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 4TH STREET SW",
            "city": "CONOVER",
            "state": "NC",
            "postal_code": "286139679",
            "telephone_number": "828-695-8282",
            "fax_number": "828-695-8218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROSIS MANAGEMENT OF CATAWBA COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-26",
        "last_updated": "2011-10-12",
        "status": "A",
        "authorized_official_last_name": "SHERRILL",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "828-695-8282",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NC",
            "license": "NH0603",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3405516",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "340613U",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Conover Nursing & Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Conover, NC

Sources for this page

Verify at the official NPI Registry.