Healthcare Provider Details

I. General information

NPI: 1376433227
Provider Name (Legal Business Name): ALLENBROOKE SNF OPERATIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/03/2025
Last Update Date: 07/03/2025
Certification Date: 07/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3933 ALLENBROOKE CV
MEMPHIS TN
38118-1866
US

IV. Provider business mailing address

3933 ALLENBROOKE CV
MEMPHIS TN
38118-1866
US

V. Phone/Fax

Practice location:
  • Phone: 901-795-2444
  • Fax:
Mailing address:
  • Phone: 901-795-2444
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: JOSEPH LIEBERMAN
Title or Position: VICE PRESIDENT OF PROCUREMENT
Credential:
Phone: 646-275-4510