Organization Active NPI

The Bay at Elmwood Health and Rehabilitation Center, LLC

  • Skilled Nursing Facility
  • Detroit, MI
National Provider Identifier
1265961585
Registry record updated Mar 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
THE BAY AT ELMWOOD HEALTH AND REHABILITATION CENTER, LLC
Practice address
1881 E Grand Blvd
Detroit, MI 48211-3041
Phone
(313) 922-1600
NPI assigned
Jun 8, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2018

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

Authorized official

Name
Menachem Ruvel
Title
Managing Member
Phone
(516) 605-9800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

1881 E Grand Blvd
Detroit, MI 48211-3041

Mailing address

165 N Village Ave Ste 126
Rockville Centre, NY 11570-3763

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1496880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522022400000",
    "number": "1265961585",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1881 E GRAND BLVD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482113041",
            "telephone_number": "313-922-1600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE BAY AT ELMWOOD HEALTH AND REHABILITATION CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-08",
        "last_updated": "2018-03-26",
        "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"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.