Organization Active NPI

Adrian Bay Operating LLC

Doing business as Adrian Bay Operating

  • Skilled Nursing Facility
  • Adrian, MI
National Provider Identifier
1316624497
Registry record updated Sep 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
ADRIAN BAY OPERATING LLC
Doing business as
Adrian Bay Operating
Practice address
700 Lakeshire TRL
Adrian, MI 49221-1565
Phone
(517) 263-0781
NPI assigned
Jun 30, 2023
Last updated
Sep 10, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2025

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

Authorized official

Name
Moshe Gottlieb
Title
Member
Phone
(732) 370-8090

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

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 1

  • Adrian Bay Operating Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230906002129 MI Part A Provider - Skilled Nursing Facility 6709240997 Practice locations: Adrian, MI

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1316624497. Details of each certification follow.

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
LLCProprietary
Enrollment address
700 Lakeshire TRL
Adrian, MI 49221-1565
Nursing home name
ADRIAN BAY REHABILITATION AND NURSING CENTER
Affiliated entity
AVON HEALTHCARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Adrian Bay Rehabilitation and Nursing CenterCCN 235287 · All quality measures
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
ActiveFrom the Provider of Services file
Certified beds
11795.8 residents per day on average
Chain
Avon Healthcare9 facilities in the chain
Penalties (3 years)
1Fines totaling $201,851

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
23D0378679Adrian Bay Rehab and Nursing Center700 Lakeshire Trail, Adrian, MI 49221Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Locations

1352 River Ave
Unit B
Lakewood, NJ 08701

Ownership & related parties

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.

NameRoleSinceShare
Springs Bay Op Holdco LLC Organization, Lakewood, NJ LLC, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Jul 31, 2023 100%
Adp of the SNF Jan 9, 2025
Eliyahu M Freund Individual 5% Or Greater Indirect Ownership Interest Jul 31, 2023 48%
Managing Control - Governing BodyChief Executive Officer 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 Organization, Lakewood, NJ LLC, Management services company, For-profit Operational/Managerial Control Jul 31, 2023
Adp of the SNF Jan 9, 2025
Somil a Gupta Individual Contracted Managing EmployeeMD; Jul 31, 2023
Operational/Managerial Control Jan 2, 2025
Adp of the SNF Jan 9, 2025
Christina Gilbert Individual W-2 Managing EmployeeDirector of Nursing Jul 31, 2023
Operational/Managerial Control Dec 20, 2024
Monroe Springs Property LLC Organization, Lakewood, NJ LLC, For-profit, Owned by another organization or individual Other Jul 31, 2023
Adp of the SNF Jan 9, 2025
Amanda Hoevemeyer Individual W-2 Managing EmployeeAd; Jul 31, 2023
Operational/Managerial Control Dec 20, 2024
Adp of the SNF Jan 9, 2025
Individual Indirect Ownership Interest Jul 31, 2023 4%
Moshe S Gottlieb Individual 5% Or Greater Indirect Ownership Interest Jul 31, 2023 48%
Managing Control - Governing BodyPresident Jul 31, 2023
Adp of the SNF Jan 9, 2025

Owners & managing parties with NPI records 1

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

Facilities with the same owner 1

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

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1688083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757462400000",
    "number": "1316624497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1352 RIVER AVE UNIT B",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087015646",
            "telephone_number": "718-807-1940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 LAKESHIRE TRL",
            "city": "ADRIAN",
            "state": "MI",
            "postal_code": "492211565",
            "telephone_number": "517-263-0781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADRIAN BAY OPERATING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-30",
        "last_updated": "2025-09-10",
        "certification_date": "2025-09-10",
        "status": "A",
        "authorized_official_last_name": "GOTTLIEB",
        "authorized_official_first_name": "MOSHE",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "732-370-8090"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Adrian Bay Operating",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Adrian, MI

Sources for this page

Verify at the official NPI Registry.