Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Black Wolf Healthcare LLC

Organization Nursing Facility/Intermediate Care Facility · NPI 1447085782

Black Wolf Healthcare LLC is a Nursing Facility/Intermediate Care Facility in Decaturville, Tennessee. Medicare rates this nursing home 4 out of 5. Registered with an NPI since 2024.

CMS rating
4 of 5
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.

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CMS quality rating

4 out of 5 — official nursing home rating from CMS Care Compare (CCN 445449)
Health inspection4.0 / 5
Staffing3.0 / 5
Quality measures3.0 / 5
OwnershipFor profit - Corporation

Practice location Address checks out

524 W Main St
Decaturville, TN 38329-8101
Phone: (731) 852-3591
Show map & directions

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 number1447085782
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Soon Burnam — Treasurer · (949) 540-1249
NPI enumeratedSeptember 5, 2024
Last updated in NPPESNovember 14, 2025
Certification dateNovember 14, 2025
Mailing address524 W Main St, Decaturville, TN 38329-8101

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