Active NPI
Monroe Health and Rehabilitation Center LLC
Doing business as Monroe Health and Rehabilitation Center
- Skilled Nursing Facility
- Madisonville, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- MONROE HEALTH AND REHABILITATION CENTER LLC
- Doing business as
- Monroe Health and Rehabilitation Center
- Practice address
- 465 Isbill Rd
Madisonville, TN 37354-2112 - Phone
- (423) 442-3990
- Fax
- (423) 442-4465
- NPI assigned
- Feb 16, 2024
- Last updated
- Feb 16, 2024
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | NU | Primary |
Addresses
Primary practice location
465 Isbill Rd
Madisonville, TN 37354-2112
Mailing address
465 Isbill Rd
Madisonville, TN 37354-2112
Phone (423) 442-3990
Other names 1
- Monroe Health and Rehabilitation Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240627002061 | TN | Part A Provider - Skilled Nursing Facility | 1254875552 | Practice locations: Madisonville, TN |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1821853060. Details of each certification follow.
Skilled nursing facility certification: CCN 445457
- Legal name
- MONROE HEALTH AND REHABILITATION CENTER LLC
- Doing business as
- MONROE HEALTH AND REHABILITATION CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Jul 1, 2002
- Last certification
- Mar 21, 2023
- Beds
- 85
- Ownership / control type
- Limited Liability Corporation
- Multi-facility organization
- Champion Care LLC
- Organization structure
- LLC
- Incorporated
- Jan 10, 2024 in TN
- Enrollment address
- 465 Isbill Rd
Madisonville, TN 37354-2112 - Nursing home name
- MONROE HEALTH AND REHABILITATION CENTER
- Affiliated entity
- CHAMPION CARE
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Monroe Health and Rehabilitation Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Jul 1, 2002
- Medicare certification status
- Active
- Certified beds
- 85
- Chain
- Champion Care
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 44D0659091 | Monroe Health and Rehabilitation Center LLC | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 7
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Ephraim Fink | 5% Or Greater Indirect Ownership Interest | Apr 1, 2024 | 7.5% |
| Monroe Operations Holdings LLC | 5% Or Greater Direct Ownership Interest | Apr 1, 2024 | 100% |
| Champion Care LLC | Operational/Managerial Control | Apr 1, 2024 | |
| Menachem Ruvel | 5% Or Greater Indirect Ownership Interest | Apr 1, 2024 | 33.34% |
| Corporate Officer | Apr 1, 2024 | ||
| Operational/Managerial Control | Apr 1, 2024 | ||
| Yisroel N Weinberg | 5% Or Greater Indirect Ownership Interest | Apr 1, 2024 | 33.33% |
| Corporate Officer | Apr 1, 2024 | ||
| Benjamin Landa | 5% Or Greater Indirect Ownership Interest | Apr 1, 2024 | 15.83% |
| Alicia F Mackie Estate | 5% Or Greater Indirect Ownership Interest | Apr 1, 2024 | 10% |
Facilities with the same owner 10
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
dba Dyersburg Health and Rehabilitation Center
- Skilled Nursing Facility
- Dyersburg, TN
- NPI 1942954060
Champion Care LLC
-
dba Highlands Health and Rehabilitation Center
- Skilled Nursing Facility
- Memphis, TN
- NPI 1740934868
Champion Care LLC
-
dba Oconto Health and Rehabilitation Center
- Skilled Nursing Facility
- Oconto, WI
- NPI 1902460348
Champion Care LLC
-
dba St Ann Health and Rehabilitation Center
- Skilled Nursing Facility
- Milwaukee, WI
- NPI 1154922144
Champion Care LLC
-
dba Bay at Suring Health and Rehabilitation Center
- Skilled Nursing Facility
- Suring, WI
- NPI 1568026904
Champion Care LLC
-
dba Manahawkin Health and Rehabilitation Center
- Skilled Nursing Facility
- Manahawkin, NJ
- NPI 1295496818
Champion Care LLC
-
dba Eastview Health and Rehabilitation Center
- Skilled Nursing Facility
- Antigo, WI
- NPI 1982139754
Champion Care LLC
-
dba North Ridge Health and Rehabilitation Center
- Skilled Nursing Facility
- Manitowoc, WI
- NPI 1992231625
Champion Care LLC
-
dba Nu Roc Health and Rehabilitation Center
- Skilled Nursing Facility
- Laona, WI
- NPI 1477069482
Champion Care LLC
-
dba Waters Edge Health and Rehabilitation Center
- Skilled Nursing Facility
- Kenosha, WI
- NPI 1700312436
Champion Care LLC
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Hospitalist Physician
- Maryville, TN
- NPI 1588741680
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1708041600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1708041600000",
"number": "1821853060",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "465 ISBILL RD",
"city": "MADISONVILLE",
"state": "TN",
"postal_code": "373542112",
"telephone_number": "423-442-3990",
"fax_number": "423-442-4465"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "465 ISBILL RD",
"city": "MADISONVILLE",
"state": "TN",
"postal_code": "373542112",
"telephone_number": "423-442-3990",
"fax_number": "423-442-4465"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MONROE HEALTH AND REHABILITATION CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-02-16",
"last_updated": "2024-02-16",
"certification_date": "2024-02-16",
"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": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Monroe Health and Rehabilitation Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Madisonville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2024; 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.