Brookhaven Tn Opco LLC
NPI 1104301837ActiveOrganization· Skilled Nursing Facility· Kingsport, TN
Skilled Nursing Facility in Kingsport, Tennessee, registered in NPPES in September 2018. The authorized official on file is David Herskowitz, Ceo. Enrolled in Medicare as part a provider - skilled nursing facility.
Overview
| NPI | 1104301837 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 28, 2018 |
| Last updated in NPPES | Feb 7, 2023 |
| Certified by provider | Feb 7, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Skilled Nursing Facility Primary | 314000000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part A Provider - Skilled Nursing Facility (TN) |
|---|
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