Black Wolf Healthcare LLC
Black Wolf Healthcare LLC is a Nursing Facility/Intermediate Care Facility in Decaturville, Tennessee. Registered with an NPI since 2024.
- In the registry since
- 2024
- Specialties on file
- 2
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
524 W Main StDecaturville, TN 38329-8101
Phone: (731) 852-3591
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Skilled Nursing Facility (primary) | Taxonomy 314000000X |
|---|---|
| Nursing Facility/Intermediate Care Facility | Taxonomy 313M00000X |
Record details
| NPI number | 1447085782 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Soon Burnam — Treasurer · (949) 540-1249 |
| NPI enumerated | September 5, 2024 |
| Last updated in NPPES | November 14, 2025 |
| Certification date | November 14, 2025 |
| Mailing address | 524 W Main St, Decaturville, TN 38329-8101 |
Clinicians affiliated with this facility
- Loren Carroll, MD Family Medicine Physician · Jackson, TN
Other providers in Decaturville
-
Westwood Health Care and Rehabilitation Center LLC
524 W Main St, Decaturville, TN 38329 · (731) 852-3591