The Bay at Highlands Health and Rehabilitation Center LLC
Organization Active NPI Skilled Nursing Facility · Memphis, TN
NPI 1740934868 · NPPES record last updated Sep 8, 2023
Key facts
- NPI
- 1740934868
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- Legal business name
- THE BAY AT HIGHLANDS HEALTH AND REHABILITATION CENTER LLC
- Practice address
- 3549 Norriswood Ave
Memphis, TN 38111-5911 - Phone
- (901) 325-7820
- Fax
- (901) 452-1573
- NPI assigned
- Feb 8, 2022
- Organization subpart
- No
Authorized official
- Name
- Menachem Ruvel
- Title
- Managing Member
- Phone
- (516) 605-9800
Facilities with the same owner 15
Practitioners 1
Affiliated clinicians 1
Medicare Care Compare: Nursing home
- Listed as
- Highlands Health and Rehabilitation Center
- Overall star rating
- ★★☆☆☆ 2 of 5
- Health inspections
- ★★☆☆☆ 2 of 5
- Staffing
- ★★☆☆☆ 2 of 5
- Quality measures
- ★★★☆☆ 3 of 5
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Jun 25, 1984
- Medicare certification status
- Active
- Certified beds
- 180 · 157.6 residents per day on average
- Chain
- Champion Care
- Penalties (3 years)
- 1 · fines totaling $22,925
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
Skilled nursing facility certification: CCN 445165
- Legal name
- THE BAY AT HIGHLANDS HEALTH AND REHABILITATION CENTER LLC
- Doing business as
- HIGHLANDS HEALTH AND REHABILITATION CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Jun 25, 1984
- Last certification
- Aug 11, 2022
- Beds
- 180
- Ownership / control type
- Corporation
- Multi-facility organization
- Champion Care
- Most recent change of ownership
- Jun 1, 2022
- Organization structure
- LLC · Proprietary
- Incorporated
- Jan 14, 2022 in TN
- Enrollment address
- 3549 Norriswood Ave
Memphis, TN 38111-5911 - Nursing home name
- HIGHLANDS HEALTH AND REHABILITATION CENTER
- Affiliated entity
- CHAMPION CARE
All disclosed owners & managing parties 11
| Name | Role | Since | Share |
|---|---|---|---|
| Andrew I Garbacz |
Other |
Jun 1, 2022 | |
| The Bay at Highlands Holdco LLC |
5% Or Greater Direct Ownership Interest | Jun 1, 2022 | 100% |
| TN2 Opco Holdings LLC |
5% Or Greater Indirect Ownership Interest | Jun 1, 2022 | 25% |
| BL Capital Group Holdings LLC |
5% Or Greater Indirect Ownership Interest | Jun 1, 2022 | 10% |
| Champion Care LLC |
Operational/Managerial Control | Jun 1, 2022 | |
| Charlotte Jackson Paul |
W-2 Managing Employee |
Jun 20, 2022 | 100% |
| Menachem Ruvel |
5% Or Greater Indirect Ownership Interest | Jun 1, 2022 | 37.5% |
| Corporate Officer |
Jun 1, 2022 | ||
| Operational/Managerial Control |
Jun 1, 2022 | ||
| Legacy SNF Opco Holdings Trust |
5% Or Greater Indirect Ownership Interest | Jun 1, 2022 | 12.5% |
| Yisroel N Weinberg |
5% Or Greater Indirect Ownership Interest | Jun 1, 2022 | 37.5% |
| Corporate Officer |
Jun 1, 2022 | ||
| Operational/Managerial Control |
Jun 1, 2022 | ||
| Benjamin Landa |
5% Or Greater Indirect Ownership Interest | Jun 1, 2022 | 10% |
| Legacy SNF Opco Holdings LLC |
5% Or Greater Indirect Ownership Interest | Jun 1, 2022 | 12.5% |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220620002068 | TN | Part a Provider - Skilled Nursing Facility | 0941689012 | Practice locations: Memphis, TN |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Yes |
Addresses
Primary practice location
3549 Norriswood Ave
Memphis, TN 38111-5911
Mailing address
3549 Norriswood Ave
Memphis, TN 38111-5911
Phone (901) 325-7820
Other names
- Highlands Health and Rehabilitation Center
NPI Registry JSON
{
"created_epoch": "1644278400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1694131200000",
"number": "1740934868",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3549 NORRISWOOD AVE",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381115911",
"telephone_number": "901-325-7820",
"fax_number": "901-452-1573"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3549 NORRISWOOD AVE",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381115911",
"telephone_number": "901-325-7820",
"fax_number": "901-452-1573"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE BAY AT HIGHLANDS HEALTH AND REHABILITATION CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-02-08",
"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": "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": "Highlands Health and Rehabilitation Center",
"code": "3",
"type": "Doing Business As"
}
]
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 8, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.