NPIMap

Organization Active NPI

The Bay at Eastview Health and Rehabilitation LLC

  • Skilled Nursing Facility
  • Antigo, WI
National Provider Identifier
1982139754
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 EASTVIEW HEALTH AND REHABILITATION LLC
Practice address
729 Park St
Antigo, WI 54409
Phone
(715) 623-2356
NPI assigned
Apr 28, 2017
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Menachem Ruvel
Title
Manager
Phone
(516) 605-9800

Facilities with the same owner 10

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

Affiliated clinicians 3

Clinicians who list this facility as an affiliation in Medicare Care Compare.

Care Compare: Nursing home

Medicare Care Compare
Listed as
Eastview Health and Rehabilitation CenterCCN 525410
Overall star rating
2 of 5
Health inspections
2 of 5
Staffing
3 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Individual
Certified
Jan 1, 1988
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
11849.5 residents per day on average
Chain
Champion Care22 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180412001821 WI Part a Provider - Skilled Nursing Facility 0941561435 Practice locations: Antigo, WI

Skilled nursing facility certification: CCN 525410

Medicare enrollment files
Legal name
THE BAY AT EASTVIEW HEALTH AND REHABILITATION LLC
Doing business as
EASTVIEW HEALTH AND REHABILITATION CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jan 1, 1988
Last certification
Jan 28, 2025
Beds
118
Ownership / control type
Individual
Multi-facility organization
Champion Care
Organization structure
LLCProprietary
Incorporated
Feb 1, 2018 in WI
Enrollment address
729 Park St
Antigo, WI 54409-2745
Nursing home name
EASTVIEW HEALTH AND REHABILITATION CENTER
Affiliated entity
CHAMPION CARE

All disclosed owners & managing parties 3

Medicare enrollment files

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

NameRoleSinceShare
Champion Care LLC Organization, Rockville Centre, NY LLC 5% Or Greater Direct Ownership Interest Feb 3, 2018 100%
Operational/Managerial Control Feb 3, 2018 100%
Menachem Ruvel Individual 5% Or Greater Indirect 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 Indirect Ownership Interest Feb 1, 2018 50%
Corporate DirectorManaging Member Feb 1, 2018 50%
Operational/Managerial ControlManaging Member Feb 1, 2018 50%

National Provider Directory

National Provider Directory

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

NPPES NPI Registry

Primary practice location

729 Park St
Antigo, WI 54409

Mailing address

729 Park St
Antigo, WI 54409-2745
Phone (715) 623-2356

Other names 1

NPPES NPI Registry
  • Eastview Health and Rehabilitation Center Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 8, 2023.

{
    "created_epoch": "1493337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694131200000",
    "number": "1982139754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "729 PARK ST",
            "city": "ANTIGO",
            "state": "WI",
            "postal_code": "544092745",
            "telephone_number": "715-623-2356"
        },
        {
            "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 EASTVIEW HEALTH AND REHABILITATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-28",
        "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": "Eastview Health and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Antigo, WI

Sources for this page

Verify at the official NPI Registry.