Black Wolf Healthcare LLC
NPI 1447085782 · Skilled Nursing Facility · Decaturville, TN
Enrolled with Medicare as Part a Provider - Skilled Nursing Facility · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Black Wolf Healthcare LLC is a Skilled Nursing Facility organization in Decaturville, TN (NPI 1447085782).
Provider details
- NPI number
- 1447085782
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Soon Burnam, Treasurer(949) 540-1249
Specialties & taxonomies
Nursing & Custodial Care Facilities
Nursing & Custodial Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2024-09-05
- Last updated
- 2025-11-14
- Certified
- 2025-11-14
Frequently asked questions
- What is Black Wolf Healthcare LLC's NPI number?
- Black Wolf Healthcare LLC's National Provider Identifier (NPI) is 1447085782, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Black Wolf Healthcare LLC?
- Black Wolf Healthcare LLC is classified in the NPPES registry as Skilled Nursing Facility (Nursing & Custodial Care Facilities).
- Where is Black Wolf Healthcare LLC located?
- Black Wolf Healthcare LLC's practice location on file with NPPES is 524 W Main St, Decaturville, TN 38329-8101.
- What is Black Wolf Healthcare LLC's phone number?
- The practice phone number listed in the NPPES registry for Black Wolf Healthcare LLC is (731) 852-3591.
- Does Black Wolf Healthcare LLC accept Medicare?
- Black Wolf Healthcare LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Black Wolf Healthcare LLC?
- The authorized official listed on Black Wolf Healthcare LLC's NPPES record is Soon Burnam, Treasurer. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Black Wolf Healthcare LLC's NPI active?
- Yes — Black Wolf Healthcare LLC's NPI (1447085782) is active in the NPPES registry as of the last update on 2025-11-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.