Organization Active NPI

The Bay at Garden View Assisted Living Center LLC

Doing business as Garden View Assisted Living Center

  • Assisted Living Facility
  • Antigo, WI
National Provider Identifier
1649765827
Registry record updated Sep 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
THE BAY AT GARDEN VIEW ASSISTED LIVING CENTER LLC
Doing business as
Garden View Assisted Living Center
Practice address
729 Park St
Antigo, WI 54409
Phone
(715) 623-2356
NPI assigned
Jun 29, 2018
Last updated
Sep 8, 2023By the provider in NPPES
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
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

729 Park St
Antigo, WI 54409

Mailing address

165 N Village Ave Ste 126
Rockville Centre, NY 11570-3763

Other names 1

  • GARDEN VIEW ASSISTED LIVING CENTER Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mark@championhcare.com

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
52D2194337Bay at Garden View Assisted Living Center, the729 Park Street, Antigo, WI 54409Certificate of waiverSep 29, 2026

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1530230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694131200000",
    "number": "1649765827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 N VILLAGE AVE STE 126",
            "city": "ROCKVILLE CENTRE",
            "state": "NY",
            "postal_code": "115703763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "729 PARK ST",
            "city": "ANTIGO",
            "state": "WI",
            "postal_code": "54409",
            "telephone_number": "715-623-2356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE BAY AT GARDEN VIEW ASSISTED LIVING CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-29",
        "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": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living 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": "729 Park St",
            "city": "Antigo",
            "state": "WI",
            "country_code": "US",
            "postal_code": "54409",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "GARDEN VIEW ASSISTED LIVING CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Antigo, WI

Sources for this page

  • 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 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.