The Bay at Burlington Health and Rehabilitation LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

THE BAY AT BURLINGTON HEALTH AND REHABILITATION LLC

Doing business as

Burlington Health and Rehabilitation Center

Practice address

677 E State St
Burlington, WI 53105-1639

Phone

(262) 763-9531

NPI assigned

Apr 28, 2017

Last updated

Sep 8, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Menachem Ruvel

Title

Manager

Phone

(516) 605-9800

Specialties & licenses 1

Addresses

Other names 1

• Burlington Health and Rehabilitation Center Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1558896324. Details of each certification follow.

• CCN 525482 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 525482

Legal name

THE BAY AT BURLINGTON HEALTH AND REHABILITATION LLC

Doing business as

BURLINGTON HEALTH AND REHABILITATION CENTER

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Apr 1, 1992

Last certification

May 14, 2024

Beds

123

Ownership / control type

Limited Liability Corporation

Multi-facility organization

CHAMPION HEALTH CARE

Organization structure

LLCProprietary

Incorporated

Jul 1, 2017 in WI

Enrollment address

677 E State St
Burlington, WI 53105-1639

Nursing home name

BURLINGTON HEALTH AND REHABILITATION CENTER

Affiliated entity

CHAMPION CARE

Listed as

Burlington Health and Rehabilitation CenterCCN 525482 · All quality measures

Overall star rating

1 of 5

Health inspections

1 of 5

Staffing

3 of 5

Quality measures

4 of 5

Type

Medicare and Medicaid

Ownership

For profit - Limited Liability company

Certified

Apr 1, 1992

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

12390.8 residents per day on average

Chain

Champion Care22 facilities in the chain

Penalties (3 years)

4Fines totaling $371,858

Processed by Care Compare on Aug 1, 2026.

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Raman I Popli, MD

  • Internal Medicine Physician
  • Crystal Lake, IL
  • NPI 1013928712

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1493337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694131200000",
    "number": "1558896324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "677 E STATE ST",
            "city": "BURLINGTON",
            "state": "WI",
            "postal_code": "531051639",
            "telephone_number": "262-763-9531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "677 E STATE ST",
            "city": "BURLINGTON",
            "state": "WI",
            "postal_code": "531051639",
            "telephone_number": "262-763-9531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE BAY AT BURLINGTON HEALTH AND REHABILITATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-28",
        "last_updated": "2023-09-08",
        "certification_date": "2023-09-08",
        "status": "A",
        "authorized_official_last_name": "RUVEL",
        "authorized_official_first_name": "MENACHEM",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "516-605-9800"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mark@championhcare.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "address_1": "677 E State St",
            "city": "Burlington",
            "state": "WI",
            "country_code": "US",
            "postal_code": "531051639",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Burlington Health and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amy E Swift-Johnson, M.D.
• Karen Swiggett
• Erin Marie Tauscher, M.S. OTR/L
• David L Taylor, MD
• Ted N Teberg, PT
• The Pharmacy Station Inc
• Indermohan S Thethi, MD
• Caitria Thiele, LAC, MSOM
• Heather Nicole Thomas, APNP
• Lori Jean Thomas, LMT

• Skilled Nursing Facility in Burlington, WI
• Providers in Burlington, WI by specialty
• Skilled Nursing Facility in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2023; 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.

Verify at the official NPI Registry.