Oak Creek Health and Rehabilitation Center LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

OAK CREEK HEALTH AND REHABILITATION CENTER LLC

Practice address

2700 W Honadel Blvd
Oak Creek, WI 53154-2650

Phone

(414) 435-2005

NPI assigned

Apr 4, 2024

Organization subpart

No

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

Authorized official

Name

Mr. Menachem Ruvel

Title

Managing Member

Phone

(516) 605-9800

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Skilled nursing facility certification: CCN 525730

Legal name

OAK CREEK HEALTH AND REHABILITATION CENTER LLC

Doing business as

THE MEDICAL SUITES AT OAK CREEK

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Apr 8, 2020

Last certification

Jul 15, 2024

Beds

144

Ownership / control type

Corporation

Multi-facility organization

Champion Care

Most recent change of ownership

Jun 1, 2024

Organization structure

OtherProprietary

Enrollment address

2700 W Honadel Blvd
Oak Creek, WI 53154-2650

Nursing home name

MEDICAL SUITES AT OAK CREEK (THE)

Affiliated entity

CHAMPION CARE

Listed as

Medical Suites at Oak Creek (The)CCN 525730

Type

Medicare and Medicaid

Ownership

For profit - Corporation

Certified

Apr 8, 2020

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

144120.3 residents per day on average

Chain

Champion Care22 facilities in the chain

Special focus status

SFF

Penalties (3 years)

3Fines totaling $92,627

Processed by Care Compare on Aug 1, 2026.

All disclosed owners & managing parties 9

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

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Sandeep R Ramanujam, M.D.

  • Family Medicine Physician
  • Milwaukee, WI
  • NPI 1770756678

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

Affiliated clinicians 3

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

• Farid A Ahmad, MD

  • General Practice Physician
  • Oak Creek, WI
  • NPI 1871916031

  Nursing home

  Care Compare affiliation
• Alok Goyal, M.D.

  • Internal Medicine Physician
  • Milwaukee, WI
  • NPI 1487634036

  Nursing home

  Care Compare affiliation
• Sandeep R Ramanujam, M.D.

  • Family Medicine Physician
  • Milwaukee, WI
  • NPI 1770756678

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1712188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712188800000",
    "number": "1174375729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 N VILLAGE AVE STE 126",
            "city": "ROCKVILLE CENTRE",
            "state": "NY",
            "postal_code": "115703763",
            "telephone_number": "516-605-9800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 W HONADEL BLVD",
            "city": "OAK CREEK",
            "state": "WI",
            "postal_code": "531542650",
            "telephone_number": "414-435-2005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAK CREEK HEALTH AND REHABILITATION CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-04",
        "last_updated": "2024-04-04",
        "certification_date": "2024-04-04",
        "status": "A",
        "authorized_official_last_name": "RUVEL",
        "authorized_official_first_name": "MENACHEM",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "516-605-9800",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa A O'Brien, PA
• Shenkun O'Connor
• Erin Matthew O'Tool, MD
• Oak Creek Dental Care LLC
• Oak Creek Family Eye Care LLC
• Oak Creek Medical & Occupational L.L.C.
• Oak Creek Medical & Pccupational, LLC
• Oak Creek Medical Supplies LLC
• Oak Creek Rehabilitation Hospital LLC
• Oak Creek Relief and Wellness SC

• Skilled Nursing Facility in Oak Creek, WI
• Providers in Oak Creek, WI by specialty
• Skilled Nursing Facility in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.