Organization Active NPI

Okeena Health and Rehabilitation Center LLC

  • Skilled Nursing Facility
  • Dyersburg, TN
National Provider Identifier
1548080500
Registry record updated Oct 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
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

Updated by the provider on Oct 15, 2024

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

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 Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 LLCCCN 445446
Overall star rating
4 of 5
Health inspections
4 of 5
Staffing
2 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Apr 1, 2002
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
13095.5 residents per day on average
Chain
Champion Care22 facilities in the chain

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
44D0659306Okeena Health and Rehabilitation Center LLC1900 Parr Avenue, Dyersburg, TN 38024Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Ownership & 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.

NameRoleSinceShare
TN3 Opco Holdings LLC Organization, Rockville Ctr, NY Created for acquisition, LLC, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Jan 1, 2025 100%
Ephraim Fink Individual 5% Or Greater Indirect Ownership InterestMember Jan 1, 2025 6.37%
Individual Adp of the SNF Dec 17, 2024
Indirect Ownership Interest Jan 1, 2025 3%
Organization, Rockville Ctr, NY LLC, Consulting firm, For-profit Adp of the SNF Dec 17, 2024
Menachem Ruvel Individual 5% Or Greater Indirect Ownership InterestMember Jan 1, 2025 33.71%
Adp of the SNF Jan 10, 2025
Stephanie Burkett Individual Operational/Managerial Control Jan 1, 2025
Adp of the SNF Jan 1, 2025
1900 Parr Avenue TN LLC Organization, New York, NY Created for acquisition, LLC, For-profit, Owned by another organization or individual 5% Or Greater Mortgage Interest Jan 1, 2025 100%
Adp of the SNF Jan 16, 2025
Yisroel N Weinberg Individual 5% Or Greater Indirect Ownership InterestMember Jan 1, 2025 33.71%
Adp of the SNF Jan 10, 2025
Benjamin Landa Individual 5% Or Greater Indirect Ownership InterestMember Jan 1, 2025 23.21%
Ravinder Kaur Machra Individual 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.

Facilities with the same owner 2

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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

Verify at the official NPI Registry.