Healthcare Provider Details

I. General information

NPI: 1740934868
Provider Name (Legal Business Name): THE BAY AT HIGHLANDS HEALTH AND REHABILITATION CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/08/2022
Last Update Date: 09/08/2023
Certification Date: 09/08/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3549 NORRISWOOD AVE
MEMPHIS TN
38111-5911
US

IV. Provider business mailing address

3549 NORRISWOOD AVE
MEMPHIS TN
38111-5911
US

V. Phone/Fax

Practice location:
  • Phone: 901-325-7820
  • Fax: 901-452-1573
Mailing address:
  • Phone: 901-325-7820
  • Fax: 901-452-1573

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: MENACHEM RUVEL
Title or Position: MANAGING MEMBER
Credential:
Phone: 516-605-9800