Active NPI
Okeena Health and Rehabilitation Center LLC
- Skilled Nursing Facility
- Dyersburg, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- OKEENA HEALTH AND REHABILITATION CENTER LLC
- Practice address
- 1900 Parr Ave
Dyersburg, TN 38024-2009 - Phone
- (731) 286-1221
- Fax
- (731) 285-1323
- NPI assigned
- Oct 15, 2024
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
1900 Parr Ave
Dyersburg, TN 38024-2009
Mailing address
1900 Parr Ave
Dyersburg, TN 38024-2009
Phone (731) 286-1221
Other names 1
- Okeena Health and Rehabilitation Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250619000423 | TN | Part A Provider - Skilled Nursing Facility | 0143731752 | Practice locations: Dyersburg, TN |
Skilled nursing facility certification: CCN 445446
- Legal name
- OKEENA HEALTH AND REHABILITATION CENTER LLC
- Doing business as
- OKEENA HEALTH AND REHABILITATION CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Apr 1, 2002
- Last certification
- Jan 16, 2025
- Beds
- 130
- Ownership / control type
- Limited Liability Corporation
- Multi-facility organization
- Champion Healthcare
- Organization structure
- LLC
- Enrollment address
- 1900 Parr Ave
Dyersburg, TN 38024-2009 - Nursing home name
- OKEENA HEALTH AND REHABILITATION CENTER LLC
- Affiliated entity
- CHAMPION CARE
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Okeena Health and Rehabilitation Center LLC
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Apr 1, 2002
- Medicare certification status
- Active
- Certified beds
- 130
- Chain
- Champion Care
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 44D0659306 | Okeena Health and Rehabilitation Center LLC | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 10
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| TN3 Opco Holdings LLC | 5% Or Greater Direct Ownership Interest | Jan 1, 2025 | 100% |
| Ephraim Fink | 5% Or Greater Indirect Ownership Interest | Jan 1, 2025 | 6.37% |
| Adp of the SNF | Dec 17, 2024 | ||
| Indirect Ownership Interest | Jan 1, 2025 | 3% | |
| Adp of the SNF | Dec 17, 2024 | ||
| Menachem Ruvel | 5% Or Greater Indirect Ownership Interest | Jan 1, 2025 | 33.71% |
| Adp of the SNF | Jan 10, 2025 | ||
| Stephanie Burkett | Operational/Managerial Control | Jan 1, 2025 | |
| Adp of the SNF | Jan 1, 2025 | ||
| 1900 Parr Avenue TN LLC | 5% Or Greater Mortgage Interest | Jan 1, 2025 | 100% |
| Adp of the SNF | Jan 16, 2025 | ||
| Yisroel N Weinberg | 5% Or Greater Indirect Ownership Interest | Jan 1, 2025 | 33.71% |
| Adp of the SNF | Jan 10, 2025 | ||
| Benjamin Landa | 5% Or Greater Indirect Ownership Interest | Jan 1, 2025 | 23.21% |
| Ravinder Kaur Machra | Operational/Managerial Control | Jan 1, 2025 | |
| Adp of the SNF | Jan 1, 2025 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Internal Medicine Physician
- Dyersburg, TN
- NPI 1457352577
Adp of the SNF, Operational/Managerial Control
Facilities with the same owner 2
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- Skilled Nursing Facility
- Humboldt, TN
- NPI 1912727967
TN3 Opco Holdings LLC
-
- Skilled Nursing Facility
- Paris, TN
- NPI 1376364125
TN3 Opco Holdings LLC
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Dyersburg, TN
- NPI 1457352577
Affiliated clinicians 4
Clinicians who list this facility as an affiliation in Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1728950400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1728950400000",
"number": "1548080500",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1900 PARR AVE",
"city": "DYERSBURG",
"state": "TN",
"postal_code": "380242009",
"telephone_number": "731-286-1221",
"fax_number": "731-285-1323"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1900 PARR AVE",
"city": "DYERSBURG",
"state": "TN",
"postal_code": "380242009",
"telephone_number": "731-286-1221",
"fax_number": "731-285-1323"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OKEENA HEALTH AND REHABILITATION CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-10-15",
"last_updated": "2024-10-15",
"certification_date": "2024-10-15",
"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": [
{
"organization_name": "Okeena Health and Rehabilitation Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Dyersburg, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 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.