Healthcare Provider Details
I. General information
NPI: 1265377543
Provider Name (Legal Business Name): GREENWAY HEALTH AND REHABILITATION CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/22/2026
Last Update Date: 04/22/2026
Certification Date: 04/22/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
13750 US HIGHWAY 90
GRAND BAY AL
36541-5453
US
IV. Provider business mailing address
165 N VILLAGE AVE STE 126
ROCKVILLE CENTRE NY
11570-3763
US
V. Phone/Fax
- Phone: 251-865-6443
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 314000000X |
| Taxonomy | Skilled Nursing Facility |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
MENACHEM
RUVEL
Title or Position: MANAGING PARTNER
Credential:
Phone: 516-605-9800