The Bay at Nu Roc Health and Rehabilitation Center LLC
Organization Active NPI Skilled Nursing Facility · Laona, WI
NPI 1477069482 · NPPES record last updated Sep 8, 2023
Key facts
- NPI
- 1477069482
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- Legal business name
- THE BAY AT NU ROC HEALTH AND REHABILITATION CENTER LLC
- Practice address
- 3576A Nu Roc LN
Laona, WI 54541-9291 - Phone
- (715) 674-4477
- NPI assigned
- Dec 28, 2017
- Organization subpart
- No
Authorized official
- Name
- Menachem Ruvel
- Title
- Manager
- Phone
- (516) 605-9800
Facilities with the same owner 10
Affiliated clinicians 1
-
Ruth Mahmood, MD
Medicare Care Compare: Nursing home
- Listed as
- Nu Roc Health and Rehabilitation CTR
- Overall star rating
- ★★★★☆ 4 of 5
- Health inspections
- ★★★★☆ 4 of 5
- Staffing
- ★★☆☆☆ 2 of 5
- Quality measures
- ★★★★☆ 4 of 5
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Jul 1, 1997
- Medicare certification status
- Active
- Certified beds
- 50 · 35.9 residents per day on average
- Chain
- Champion Care
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 52D0864370 | Bay at Nu-Roc Health & Rehabilitation Center, the | Certificate of waiver | Aug 31, 2026 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
Skilled nursing facility certification: CCN 525623
- Legal name
- THE BAY AT NU ROC HEALTH AND REHABILITATION CENTER, LLC
- Doing business as
- NU ROC HEALTH AND REHABILITATION CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Jul 1, 1997
- Last certification
- May 15, 2024
- Beds
- 50
- Ownership / control type
- Corporation
- Most recent change of ownership
- Feb 1, 2018
- Organization structure
- LLC · Proprietary
- Incorporated
- Feb 1, 2018 in WI
- Enrollment address
- 3576A Nu Roc LN
Laona, WI 54541-9291 - Nursing home name
- NU ROC HEALTH AND REHABILITATION CTR
- Affiliated entity
- CHAMPION CARE
All disclosed owners & managing parties 5
| Name | Role | Since | Share |
|---|---|---|---|
| Nu Roc Holdings LLC |
5% Or Greater Direct Ownership Interest | Feb 1, 2018 | 100% |
| Champion Care LLC |
Operational/Managerial Control | Feb 1, 2018 | |
| Menachem Ruvel |
5% Or Greater Indirect Ownership Interest | Oct 28, 2020 | 25% |
| Corporate Director |
Feb 1, 2018 | 50% | |
| Operational/Managerial Control |
Feb 1, 2018 | 50% | |
| Yisroel N Weinberg |
5% Or Greater Indirect Ownership Interest | Feb 1, 2018 | 25% |
| Corporate Director |
Feb 1, 2018 | 50% | |
| Operational/Managerial Control |
Feb 1, 2018 | 50% | |
| Benjamin Landa |
5% Or Greater Indirect Ownership Interest | Feb 1, 2018 | 50% |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20180221002589 | WI | Part a Provider - Skilled Nursing Facility | 8224399894 | Practice locations: Laona, WI |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Yes |
Addresses
Primary practice location
3576A Nu Roc LN
Laona, WI 54541-9291
Mailing address
165 N Village Ave Ste 126
Rockville Centre, NY 11570-3763
Other names
- NU ROC HEALTH AND REHABILITATION CENTER
Other providers in Laona, WI
- Laona Rescue Unit, Inc.
- Kathyrn Lewis
- Nu-Roc Community Healthcare, Inc.
- Paul Linderud
- School District of Laona
All providers in Laona, WI · Skilled Nursing Facility in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 8, 2023. 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.