Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
BLACK WOLF HEALTHCARE LLC
Active
Organization
BLACK WOLF HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SOON BURNAM (TREASURER)
(949) 540-1249
Entity
Organization
Contact information
Practice address
524 W MAIN ST, DECATURVILLE, TN 38329-8101
(731) 852-3591
Mailing address
524 W MAIN ST, DECATURVILLE, TN 38329-8101
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
—
NULL
314000000X
Skilled Nursing Facility
Primary
—
NULL
Other
Enumeration date
09/05/2024
Last updated
11/14/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers