Organization Active NPI

The Bay at Sheridan Health and Rehabilitation LLC

  • Skilled Nursing Facility
  • Kenosha, WI
National Provider Identifier
1629504352
Registry record updated Sep 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
THE BAY AT SHERIDAN HEALTH AND REHABILITATION LLC
Practice address
8400 Sheridan Rd
Kenosha, WI 53143
Phone
(262) 658-4141
NPI assigned
May 1, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2023

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

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

8400 Sheridan Rd
Kenosha, WI 53143

Mailing address

8400 Sheridan Rd
Kenosha, WI 53143-6327
Phone (262) 658-4141

Other names 1

  • Sheridan Health and Rehabilitation Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180329001068 WI Part A Provider - Skilled Nursing Facility 3072875111 Practice locations: Kenosha, WI

Skilled nursing facility certification: CCN 525318

Legal name
THE BAY AT SHERIDAN HEALTH AND REHABILITATION LLC
Doing business as
SHERIDAN HEALTH AND REHABILITATION CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jun 1, 1982
Last certification
Aug 22, 2024
Beds
81
Ownership / control type
Corporation
Multi-facility organization
CHAMPION HEALTH CARE
Organization structure
LLCProprietary
Incorporated
Jul 1, 2017 in WI
Enrollment address
8400 Sheridan Rd
Kenosha, WI 53143-6327
Nursing home name
SHERIDAN HEALTH AND REHABILITATION CENTER
Affiliated entity
CHAMPION CARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Sheridan Health and Rehabilitation CenterCCN 525318
Overall star rating
2 of 5
Health inspections
2 of 5
Staffing
2 of 5
Quality measures
2 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Jun 1, 1982
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
8161.7 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
52D0671561Sheridan Health and Rehabilitation8400 Sheridan Rd, Kenosha, WI 53143Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

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.

NameRoleSinceShare
The Bay at Sheridan Health and Rehabilitation LLC Organization, Kenosha, WI For-profit Operational/Managerial Control Feb 1, 2018 100%
Menachem Ruvel Individual 5% Or Greater Direct Ownership Interest Feb 1, 2018 50%
Corporate DirectorManaging Member Feb 1, 2018 50%
Operational/Managerial ControlManaging Member Feb 1, 2018 50%
Yisroel N Weinberg Individual 5% Or Greater Direct Ownership Interest Jul 1, 2017 50%
Corporate DirectorManaging Member Feb 1, 2018 50%
Operational/Managerial ControlManaging Member Feb 1, 2018 50%

Practitioners & affiliated clinicians

Affiliated clinicians 1

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": "1493596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694131200000",
    "number": "1629504352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8400 SHERIDAN RD",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531436327",
            "telephone_number": "262-658-4141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8400 SHERIDAN RD",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "53143",
            "telephone_number": "262-658-4141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE BAY AT SHERIDAN HEALTH AND REHABILITATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-01",
        "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": [],
    "other_names": [
        {
            "organization_name": "Sheridan Health and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kenosha, WI

Sources for this page

Verify at the official NPI Registry.