Adrian Bay Operating LLC
Organization Active NPI Skilled Nursing Facility · Adrian, MI
NPI 1316624497 · NPPES record last updated Sep 10, 2025
Key facts
- NPI
- 1316624497
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- Legal business name
- ADRIAN BAY OPERATING LLC
- Practice address
- 700 Lakeshire TRL
Adrian, MI 49221-1565 - Phone
- (517) 263-0781
- NPI assigned
- Jun 30, 2023
- Organization subpart
- No
Authorized official
- Name
- Moshe Gottlieb
- Title
- Member
- Phone
- (732) 370-8090
Owners & managing parties with NPI records 1
Facilities with the same owner 1
Practitioners 2
-
Hassan Issa Baiz, M.D.
Medicare Care Compare: Nursing home
- Listed as
- Adrian Bay Rehabilitation and Nursing Center
- Overall star rating
- ★★☆☆☆ 2 of 5
- Health inspections
- ★★☆☆☆ 2 of 5
- Staffing
- ★★★☆☆ 3 of 5
- Quality measures
- ★★★★☆ 4 of 5
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- May 1, 1976
- Medicare certification status
- Active
- Certified beds
- 117 · 95.8 residents per day on average
- Chain
- Avon Healthcare
- Penalties (3 years)
- 1 · fines totaling $201,851
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 23D0378679 | Adrian Bay Rehab and Nursing Center | Certificate of waiver | Aug 31, 2026 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
Skilled nursing facility certification: CCN 235287
- Legal name
- ADRIAN BAY OPERATING LLC
- Doing business as
- ADRIAN BAY REHAB AND NURSING CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF distinct part
- Participating since
- May 1, 1976
- Last certification
- Jun 12, 2025
- Beds
- 117
- Ownership / control type
- Corporation
- Multi-facility organization
- Avon
- Most recent change of ownership
- Jul 31, 2023
- Organization structure
- LLC · Proprietary
- Enrollment address
- 700 Lakeshire TRL
Adrian, MI 49221-1565 - Nursing home name
- ADRIAN BAY REHABILITATION AND NURSING CENTER
- Affiliated entity
- AVON HEALTHCARE
All disclosed owners & managing parties 9
| Name | Role | Since | Share |
|---|---|---|---|
| Springs Bay Op Holdco LLC |
5% Or Greater Direct Ownership Interest | Jul 31, 2023 | 100% |
| Adp of the SNF | Jan 9, 2025 | ||
| Eliyahu M Freund |
5% Or Greater Indirect Ownership Interest | Jul 31, 2023 | 48% |
| Managing Control - Governing Body |
Jul 31, 2023 | ||
| Adp of the SNF | Jan 9, 2025 | ||
| Direct Ownership Interest | Jul 31, 2023 | 50% | |
| Indirect Ownership Interest | Jul 31, 2023 | 48% | |
| Avon Springs Bay Management LLC |
Operational/Managerial Control | Jul 31, 2023 | |
| Adp of the SNF | Jan 9, 2025 | ||
| Somil a Gupta |
Contracted Managing Employee |
Jul 31, 2023 | |
| Operational/Managerial Control | Jan 2, 2025 | ||
| Adp of the SNF | Jan 9, 2025 | ||
| Christina Gilbert |
W-2 Managing Employee |
Jul 31, 2023 | |
| Operational/Managerial Control | Dec 20, 2024 | ||
| Monroe Springs Property LLC |
Other | Jul 31, 2023 | |
| Adp of the SNF | Jan 9, 2025 | ||
| Amanda Hoevemeyer |
W-2 Managing Employee |
Jul 31, 2023 | |
| Operational/Managerial Control | Dec 20, 2024 | ||
| Adp of the SNF | Jan 9, 2025 | ||
| |
Indirect Ownership Interest | Jul 31, 2023 | 4% |
| Moshe S Gottlieb |
5% Or Greater Indirect Ownership Interest | Jul 31, 2023 | 48% |
| Managing Control - Governing Body |
Jul 31, 2023 | ||
| Adp of the SNF | Jan 9, 2025 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230906002129 | MI | Part a Provider - Skilled Nursing Facility | 6709240997 | Practice locations: Adrian, MI |
National Provider Directory
Locations
1352 River Ave
Unit B
Lakewood, NJ 08701
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Yes |
Addresses
Primary practice location
700 Lakeshire TRL
Adrian, MI 49221-1565
Mailing address
1352 River Ave Unit B
Lakewood, NJ 08701-5646
Phone (718) 807-1940
Other names
- Adrian Bay Operating
Other providers in Adrian, MI
- Trisha Lynn Ables-Rosas
- Jennifer Abraham
- Acpc PLLC
- Megan Adams
- Adekoyejo B Adenuga
- Adrian Chiropractic Center, P.C.
- Adrian Chiropractic PC
- Adrian Discount Drugs Inc
- Adrian Dominican Sisters
- Adrian Dominican Sisters, Inc.
All providers in Adrian, MI · Skilled Nursing Facility in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 10, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.