NPIMap

Organization Active NPI

Bay at St Ann Health and Rehabilitation Center LLC

Doing business as St Ann Health and Rehabilitation Center

  • Skilled Nursing Facility
  • Milwaukee, WI
National Provider Identifier
1154922144
Registry record updated Sep 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
BAY AT ST ANN HEALTH AND REHABILITATION CENTER LLC
Doing business as
St Ann Health and Rehabilitation Center
Practice address
2020 S Muskego Ave
Milwaukee, WI 53204-3622
Phone
(516) 605-9800
NPI assigned
Nov 5, 2020
Last updated
Sep 8, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Nelson Stein
Title
Coo
Phone
(516) 605-9800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

2020 S Muskego Ave
Milwaukee, WI 53204-3622

Mailing address

165 N Village Ave
Rockville Centre, NY 11570-3761
Phone (516) 605-9800

Other names 1

  • ST ANN HEALTH AND REHABILITATION CENTER Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://login.pointclickcare.com/home/userLogin.xhtml

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201121000005 WI Part A Provider - Skilled Nursing Facility 2769893882 Practice locations: Milwaukee, WI

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1154922144. Details of each certification follow.

Skilled nursing facility certification: CCN 525731

Legal name
BAY AT ST ANN HEALTH AND REHABILITATION CENTER LLC
Doing business as
ST. ANN HEALTH AND REHABILITATION CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Dec 8, 2023
Last certification
Feb 6, 2025
Beds
50
Ownership / control type
Corporation
Organization structure
LLCProprietary
Incorporated
Sep 21, 2020 in WI
Enrollment address
2020 S Muskego Ave
Milwaukee, WI 53204-3622
Nursing home name
ST ANN HEALTH AND REHABILITATION CENTER
Affiliated entity
CHAMPION CARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
St Ann Health and Rehabilitation CenterCCN 525731 · All quality measures
Overall star rating
4 of 5
Health inspections
4 of 5
Staffing
2 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Dec 8, 2023
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
5045.2 residents per day on average
Chain
Champion Care22 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
52D0889705Bay at St Ann, the2020 S Muskego Ave, Milwaukee, WI 53204Certificate of waiverAug 2, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 4

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
The Bay at St Ann Holdings LLC Organization, Rockville Centre, NY Created for acquisition, LLC 5% Or Greater Direct Ownership Interest Sep 21, 2020 100%
Champion Care LLC Organization, Rockville Centre, NY LLC Operational/Managerial Control Dec 1, 2020 75%
Menachem Ruvel Individual 5% Or Greater Indirect Ownership Interest Sep 21, 2020 47.55%
Corporate DirectorManaging Member Sep 21, 2020 47.55%
Operational/Managerial ControlManaging Member Dec 1, 2020 47.55%
Yisroel N Weinberg Individual 5% Or Greater Indirect Ownership Interest Sep 21, 2020 47.55%
Corporate DirectorManaging Member Sep 21, 2020 47.55%
Operational/Managerial ControlManaging Member Dec 1, 2020 47.55%

Facilities with the same owner 10

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1604534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694131200000",
    "number": "1154922144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 N VILLAGE AVE",
            "city": "ROCKVILLE CENTRE",
            "state": "NY",
            "postal_code": "115703761",
            "telephone_number": "516-605-9800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 S MUSKEGO AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532043622",
            "telephone_number": "516-605-9800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAY AT ST ANN HEALTH AND REHABILITATION CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-05",
        "last_updated": "2023-09-08",
        "certification_date": "2023-09-08",
        "status": "A",
        "authorized_official_last_name": "STEIN",
        "authorized_official_first_name": "NELSON",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "516-605-9800"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://login.pointclickcare.com/home/userLogin.xhtml",
            "affiliation": "N",
            "address_1": "2020 S Muskego Ave",
            "city": "Milwaukee",
            "state": "WI",
            "country_code": "US",
            "postal_code": "532043622",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "ST ANN HEALTH AND REHABILITATION CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Milwaukee, WI

Sources for this page

Verify at the official NPI Registry.