Brentwood Nursing LLC
Brentwood Nursing LLC is a healthcare organization registered as Skilled Nursing Facility in Roberta, GA, holding Type 2 (organization) NPI 1083776520 since 2006. The authorized official on file is Tygh Brogdon, Manager.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1083776520 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Brentwood Nursing LLC |
| Other name | <Unavail> |
| Practice address | 280 MYRTLE DRIVE, Roberta, GA, 31078 |
| Phone | 4788363101 |
| Fax | 4788362700 |
| Enumeration date | 2006-12-14 |
| Last updated in NPPES | 2008-09-29 |
Authorized official
| Name | Tygh Brogdon |
|---|---|
| Title | Manager |
| Phone | 7706508773 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 314000000X | Skilled Nursing Facility | Primary | 1-039-1747 | GA |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00142777A | Medicaid | GA | — |
Copy-ready billing details
Provider: Brentwood Nursing LLC NPI: 1083776520 Taxonomy: 314000000X (Skilled Nursing Facility) Address: 280 MYRTLE DRIVE, Roberta, GA, 31078
Verify this record
Cross-check NPI 1083776520 against the authoritative CMS record: view Brentwood Nursing LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is a Type 2 NPI?
What type of organization is Brentwood Nursing LLC?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2008-09-29.