BLACK WOLF HEALTHCARE LLC
NPI 1447085782
Skilled Nursing Facility in Decaturville, TN

Active since September 05, 2024CLIA 44D0858927 · Waiver
524 W MAIN ST, DECATURVILLE, TN 38329(731) 852-3591 Get Directions Write a Review

NPPES record last updated: November 14, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 14, 2025, Sep 5, 2024 (2 updates tracked since 2024).

About Black Wolf Healthcare Llc NPPES

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

BLACK WOLF HEALTHCARE LLC (NPI 1447085782) is a healthcare organization registered as a skilled nursing facility in Decaturville, Tennessee and active in the NPI registry since September 2024. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Soon Burnam, Treasurer, as its authorized official.

NPPES Registry Identity

NPI1447085782
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameBLACK WOLF HEALTHCARE LLC
Location Address524 W MAIN STDecaturville, TN 38329-8101
Mailing Address524 W Main StDecaturville, TN 38329-8101
Organization SubpartNo
Authorized OfficialSoon BurnamTreasurer · (949) 540-1249
Enumeration DateSeptember 5, 2024
Last NPPES UpdateNovember 14, 20252 updates tracked since enumeration
NPPES CertifiedNovember 14, 2025
NPI 1447085782 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
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.

Also ListedNursing Facility/Intermediate Care FacilityTaxonomy 313M00000X
524 W MAIN ST, Decaturville, TN 38329

Accepted Insurance

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 44D0858927

Black Wolf Healthcare, LLC Dba Westwood Nursing And Rehabilitation · Decaturville, TN
Active · expires Aug 31, 2026
CLIA Number44D0858927
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorDr. Loren Carroll
Laboratory Phone(731) 852-3591
Laboratory LocationBlack Wolf Healthcare, LLC Dba Westwood Nursing And Rehabilitation524 West Main Street, Decaturville, TN 38329
CLIA data matches this NPI record on: Address Name Phone
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.

Occupational Therapist
524 W MAIN ST
DECATURVILLE, TN 38329
Speech-Language Pathologist
524 W MAIN ST
DECATURVILLE, TN 38329
Speech-Language Pathologist
524 W MAIN ST
DECATURVILLE, TN 38329
Physical Therapy Assistant
524 W MAIN ST
DECATURVILLE, TN 38329
Occupational Therapy Assistant
524 W MAIN ST
DECATURVILLE, TN 38329
Skilled Nursing Facility
524 W MAIN ST
DECATURVILLE, TN 38329
Physical Therapist
524 W MAIN ST
DECATURVILLE, TN 38329

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 Black Wolf Healthcare LLC's NPI number?

The NPI number for Black Wolf Healthcare LLC is 1447085782. It was assigned to this organization in the NPPES registry on September 5, 2024.

Where is Black Wolf Healthcare LLC located?

Black Wolf Healthcare LLC is located at 524 W Main St, Decaturville, TN 38329. The listed phone number is (731) 852-3591.

What is Black Wolf Healthcare LLC's specialty?

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

Does Black Wolf Healthcare LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 44D0858927) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Black Wolf Healthcare LLC accept?

Health plans from Oscar Insurance Company and UnitedHealthcare list Black Wolf Healthcare LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Black Wolf Healthcare LLC was last updated on November 14, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.