BROOKHAVEN NURSING & REHABILITATION CENTER
NPI 1093847378
Skilled Nursing Facility in Carrollton, TX

Active since March 12, 2007CLIA 45D0476241 · Waiver
1855 CHEYENNE DR, CARROLLTON, TX 75010(972) 394-7141(972) 492-5534 Get Directions Write a Review

NPPES record last updated: August 12, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Brookhaven Nursing & Rehabilitation Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BROOKHAVEN NURSING & REHABILITATION CENTER (NPI 1093847378) is a healthcare organization registered as a skilled nursing facility in Carrollton, Texas and active in the NPI registry since March 2007. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Tom Marks, Administrator, as its authorized official.

NPPES Registry Identity

NPI1093847378
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameDIVERSIFIED HEALTHCARE-DALLAS LLC
Location Address1855 CHEYENNE DRCarrollton, TX 75010-2201
Mailing Address1855 Cheyenne DrCarrollton, TX 75010-2201 · (972) 394-7141 · Fax (972) 492-5534
Fax(972) 492-5534
Organization SubpartNo
Authorized OfficialTom MarksAdministrator · (972) 394-7141
Enumeration DateMarch 12, 2007
Last NPPES UpdateAugust 12, 2011
NPI 1093847378 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License Licensed in TX · 118368
Definition

(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.

1855 CHEYENNE DR, Carrollton, TX 75010

Other Names 1

Doing Business AsBrookhaven Nursing & Rehabilitation Center

Other Identifiers 3

Medicare OSCAR/certification455412TX
Medicare ID-Type Unspecified455412TX
Medicaid001013833TX

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D0476241

Brookhaven Nursing & Rehabilitation Center · Carrollton, TX
Active · expires Aug 31, 2026
CLIA Number45D0476241
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorPeter Njuguna
Laboratory Phone(337) 456-8502
Laboratory LocationBrookhaven Nursing & Rehabilitation Center1855 Cheyenne Dr, Carrollton, TX 75010
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapy Assistant
1855 CHEYENNE DR
CARROLLTON, TX 75010
Physical Therapy Assistant
1855 CHEYENNE DR
CARROLLTON, TX 75010
Skilled Nursing Facility
1855 CHEYENNE DR
CARROLLTON, TX 75010
Speech-Language Pathologist
1855 CHEYENNE DR
CARROLLTON, TX 75010
Assisted Living Facility
1855 CHEYENNE DR
CARROLLTON, TX 75010
Physical Therapy Assistant
1855 CHEYENNE DR
CARROLLTON, TX 75010
Physical Therapy Assistant
1855 CHEYENNE DR
CARROLLTON, TX 75010

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Diversified Healthcare-Dallas LLC's NPI number?

The NPI number for Diversified Healthcare-Dallas LLC is 1093847378. It was assigned to this organization in the NPPES registry on March 12, 2007. The provider is doing business as Brookhaven Nursing & Rehabilitation Center.

Where is Diversified Healthcare-Dallas LLC located?

Diversified Healthcare-Dallas LLC is located at 1855 Cheyenne Dr, Carrollton, TX 75010. The listed phone number is (972) 394-7141.

What is Diversified Healthcare-Dallas LLC's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Does Diversified Healthcare-Dallas LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D0476241) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Diversified Healthcare-Dallas LLC was last updated on August 12, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.