Active NPI
Brosis Management of Catawba County
- Skilled Nursing Facility
- Conover, NC
National Provider Identifier
1891722187
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- NH0603
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3405516 | Medicaid | NC | |
| 340613U | Medicaid | NC |
Other names 1
- Conover Nursing & Rehabilitation Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Corporation
- 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 Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Jun 27, 2002
- Medicare certification status
- Active
- Certified beds
- 90
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 |
|---|---|---|---|
| 34D1077593 | Conover Nursing & Rehabilitation | Certificate of waiver | Dec 13, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Adp of the SNF | Aug 1, 2024 | ||
| Adp of the SNF | Mar 3, 1999 | ||
| Indirect Ownership Interest | Mar 3, 1999 | ||
| Adp of the SNF | Sep 15, 2025 | ||
| Indirect Ownership Interest | May 30, 2003 | ||
| Adp of the SNF | Sep 15, 2025 | ||
| Indirect Ownership Interest | May 27, 1998 | ||
| Todd Roper | Operational/Managerial Control | Mar 21, 2012 | |
| Adp of the SNF | Mar 21, 2012 | ||
| Joshua Anthony Sherrill | 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 | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2011; 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.