NPIMap

Organization Active NPI

Arabella Health and Wellness of Phenix City LLC

Doing business as Arabella Health & Wellness of Phenix City

  • Skilled Nursing Facility
  • Phenix City, AL
National Provider Identifier
1942921978
Registry record updated Sep 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
ARABELLA HEALTH AND WELLNESS OF PHENIX CITY LLC
Doing business as
Arabella Health & Wellness of Phenix City
Practice address
3900 Lakewood Dr
Phenix City, AL 36867-2448
Phone
(334) 298-8247
NPI assigned
Sep 7, 2022
Last updated
Sep 30, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2022

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

Authorized official

Name
Mr. Chaim N Hertzel
Title
Member
Phone
(901) 930-6124

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

3900 Lakewood Dr
Phenix City, AL 36867-2448

Mailing address

3440 Hollywood Blvd Ste 415
Hollywood, FL 33021-6933
Phone (901) 930-6124

Other names 2

  • Arabella Health & Wellness of Phenix City Doing business as
  • East Village Nursing and Rehab Opco LLC Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221107002384 AL Part A Provider - Skilled Nursing Facility 8325415250 Practice locations: Phenix City, AL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1942921978. Details of each certification follow.

Skilled nursing facility certification: CCN 015331

Legal name
ARABELLA HEALTH AND WELLNESS OF PHENIX CITY LLC
Doing business as
ARABELLA HEALTH & WELLNESS OF PHENIX CITY
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jan 1, 1972
Last certification
Jan 9, 2020
Beds
86
Ownership / control type
Corporation
Multi-facility organization
THE HUIE GROUP
Most recent change of ownership
Oct 1, 2022
Organization structure
LLCProprietary
Incorporated
May 20, 2022 in DE
Enrollment address
3900 Lakewood Dr
Phenix City, AL 36867-2448
Nursing home name
BRIDGEWAY HEALTH AND REHABILITATION CENTER
Affiliated entity
ARABELLA HEALTHCARE MANAGEMENT

Care Compare: Nursing home

Medicare Care Compare
Listed as
Bridgeway Health and Rehabilitation CenterCCN 015331 · All quality measures
Overall star rating
3 of 5
Health inspections
3 of 5
Staffing
3 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Jan 1, 1972
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
8676.5 residents per day on average
Chain
Arabella Healthcare Management12 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
01D0705567Dba Arabella Health & Wellness of Phenix City3900 Lakewood Drive, Phenix City, AL 36867Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

3900 Lakewood Dr
Phenix City, AL 36867
Phone (334) 298-8247

Ownership & related parties

All disclosed owners & managing parties 23

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

NameRoleSinceShare
Individual Indirect Ownership Interest Oct 1, 2022 4.5%
Organization, New York, NY LLC, Holding company, For-profit Adp of the SNF Mar 4, 2024
Indirect Ownership Interest Oct 1, 2022 4.5%
Chaim Hertzel Individual Operational/Managerial Control Oct 1, 2022
Adp of the SNF Oct 1, 2022
Organization, Hollywood, FL For-profit Adp of the SNF Mar 4, 2024
Individual Adp of the SNF Oct 1, 2022
Organization, New York, NY Adp of the SNF Mar 4, 2024
Indirect Ownership Interest Oct 1, 2022 0.22%
Individual Adp of the SNF Mar 4, 2024
Indirect Ownership Interest Oct 1, 2022 4.5%
Arabella Healthcare Management LLC Organization, Hollywood, FL LLC, Management services company, For-profit Operational/Managerial Control Oct 1, 2022
Adp of the SNF Mar 14, 2025
Arabella Health and Wellness of Phenix City Propco LLC Organization, Hollywood, FL Created for acquisition, LLC, For-profit, Owned by another organization or individual 5% Or Greater Mortgage Interest Oct 1, 2022 100%
Adp of the SNF Oct 1, 2022
Organization, New York, NY Adp of the SNF Mar 4, 2024
Indirect Ownership Interest Oct 1, 2022 2.25%
Hwood Partners LLC Organization, Hollywood, FL LLC, For-profit Adp of the SNF Mar 4, 2024
Indirect Ownership Interest Oct 1, 2022 86.5%
Organization, Hollywood, FL LLC, For-profit Adp of the SNF Mar 4, 2024
Arabella Al 600 Opco LP Organization, Hollywood, FL Created for acquisition, For-profit, Owned by another organization or individual Direct Ownership Interest Oct 1, 2022 100%
Individual Adp of the SNF Oct 1, 2022
Organization, Hollywood, FL LLC, For-profit Adp of the SNF Mar 4, 2024
Arco Kano Irrv TR Organization, Fort Lauderdale, FL Adp of the SNF Mar 4, 2024
Indirect Ownership Interest Oct 1, 2022 43.25%
Sunny G McDaniel Individual Operational/Managerial Control Oct 26, 2023
Adp of the SNF Oct 26, 2023
Organization, New York, NY LLC, For-profit Adp of the SNF Mar 4, 2024
Indirect Ownership Interest Oct 1, 2022 4.5%
Mohannad F Azzam Individual Operational/Managerial Control Apr 24, 2023
Adp of the SNF Apr 24, 2023
Organization, New York, NY Adp of the SNF Mar 4, 2024
Indirect Ownership Interest Oct 1, 2022 2.25%
GNH Irrv TR Organization, Hollywood, FL Adp of the SNF Mar 4, 2024
Indirect Ownership Interest Oct 1, 2022 43.25%
Organization, Bal Harbour, FL LLC, Holding company, For-profit Adp of the SNF Mar 4, 2024
Indirect Ownership Interest Oct 1, 2022 4.5%
Organization, Englewood, NJ Adp of the SNF Mar 4, 2024
Indirect Ownership Interest Oct 1, 2022 4.28%

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Arabella Health & Wellness of RussellvilleRussellville, AL, CCN 015071 Skilled nursing facility 5% Or Greater Mortgage Interest (100%)
Adp of the SNF		 Oct 1, 2022
Oct 1, 2022

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 12

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1662508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664496000000",
    "number": "1942921978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3440 HOLLYWOOD BLVD STE 415",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330216933",
            "telephone_number": "901-930-6124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 LAKEWOOD DR",
            "city": "PHENIX CITY",
            "state": "AL",
            "postal_code": "368672448",
            "telephone_number": "334-298-8247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARABELLA HEALTH AND WELLNESS OF PHENIX CITY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-07",
        "last_updated": "2022-09-30",
        "certification_date": "2022-09-30",
        "status": "A",
        "authorized_official_last_name": "HERTZEL",
        "authorized_official_first_name": "CHAIM",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "901-930-6124",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Arabella Health & Wellness of Phenix City",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "East Village Nursing and Rehab Opco LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "East Village Nursing and Rehab Opco LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Phenix City, AL

Sources for this page

Verify at the official NPI Registry.