BROOKHAVEN MANOR
NPI 1871580886
Skilled Nursing Facility in Kingsport, TN

Active since October 04, 2005
2035 STONEBROOK PLACE, KINGSPORT, TN 37660(423) 246-8934(423) 246-9280 Get Directions Write a Review

NPPES record last updated: November 20, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Brookhaven Manor NPPES

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

BROOKHAVEN MANOR (NPI 1871580886) is a healthcare organization registered as a skilled nursing facility in Kingsport, Tennessee and active in the NPI registry since October 2005. The organization lists Judy L Johnson, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1871580886
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameKINGSPORT NH OPERATIONS, LLC
Location Address2035 STONEBROOK PLACEKingsport, TN 37660-4000
Mailing Address2035 Stonebrook PlaceKingsport, TN 37660-4000 · (423) 246-8934 · Fax (423) 246-9280
Fax(423) 246-9280
Organization SubpartNo
Authorized OfficialJudy L JohnsonOffice Manager · (423) 246-8934
Enumeration DateOctober 4, 2005
Last NPPES UpdateNovember 20, 2007
NPI 1871580886 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 TN · 0000000261
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.
2035 STONEBROOK PLACE, Kingsport, TN 37660

Other Names 1

Doing Business AsBrookhaven Manor

Other Identifiers 4

Medicaid0445174TN
Medicare NSC5152540001TN
Medicare OSCAR/certification445174TN
Medicaid7440460TN

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 Kingsport Nh Operations, LLC's NPI number?

The NPI number for Kingsport Nh Operations, LLC is 1871580886. It was assigned to this organization in the NPPES registry on October 4, 2005. The provider is doing business as Brookhaven Manor.

Where is Kingsport Nh Operations, LLC located?

Kingsport Nh Operations, LLC is located at 2035 Stonebrook Place, Kingsport, TN 37660. The listed phone number is (423) 246-8934.

What is Kingsport Nh Operations, LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Kingsport Nh Operations, LLC was last updated on November 20, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.