WOODLANDS HOME HEALTH
NPI 1447814884
Home Health in Suring, WI

Active since April 30, 2019CLIA Certified · 2 labs
425 MANOR DR, SURING, WI 54174(516) 605-9800 Get Directions Write a Review

NPPES record last updated: September 8, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Sep 8, 2023, Feb 16, 2022, Apr 30, 2019 (3 updates tracked since 2019).

About Woodlands Home Health NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WOODLANDS HOME HEALTH (NPI 1447814884) is a healthcare organization registered as a home health in Suring, Wisconsin and active in the NPI registry since April 2019. The organization holds 2 active CLIA laboratory certificates, maintains a secondary practice location in Crivitz, and lists Menachem Ruvel, Managing Partner, as its authorized official.

NPPES Registry Identity

NPI1447814884
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NameBAY AT WOODLANDS HOME HEALTH LLC
Location Address425 MANOR DRSuring, WI 54174-9182
Mailing Address165 N Village AveRockville Centre, NY 11570-3761 · (516) 605-9800
Organization SubpartNo
Authorized OfficialMenachem RuvelManaging Partner · (516) 605-9800
Enumeration DateApril 30, 2019
Last NPPES UpdateSeptember 8, 20233 updates tracked since enumeration
NPPES CertifiedSeptember 8, 2023
NPI 1447814884 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
Definition

A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.

425 MANOR DR, Suring, WI 54174

Other Names 1

Doing Business AsWoodlands Home Health

Secondary Practice Location 1

Location 1410 N Hwy 141Crivitz, WI 54114-1638 · Phone (516) 605-9800 ext. 1004

Other Identifiers 1

Medicaid41536700WI

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 52D1101856

Bay At Woodlands Home Health, The · Suring, WI
Active · expires Jul 6, 2027
CLIA Number52D1101856
Laboratory TypeHome Health Agency
Certificate Effective DateJuly 7, 2025
Certificate Expiration DateJuly 6, 2027
Laboratory DirectorKim Deming
Laboratory Phone(920) 842-4132
Laboratory LocationBay At Woodlands Home Health, The425 Manor Dr, Suring, WI 54174
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 52D1101857

Bay At Woodlands Home Health, The · Crivitz, WI
Active · expires Jul 6, 2027
CLIA Number52D1101857
Laboratory TypeHome Health Agency
Certificate Effective DateJuly 7, 2025
Certificate Expiration DateJuly 6, 2027
Laboratory DirectorKim Deming
Laboratory Phone(715) 854-8080
Laboratory LocationBay At Woodlands Home Health, The410 Hwy 141, Crivitz, WI 54114
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Registered Nurse (Home Health)
425 MANOR DR
SURING, WI 54174
Registered Nurse (Home Health)
425 MANOR DR
SURING, WI 54174
Home Health
425 MANOR DR
SURING, WI 54174

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1447814884, enumerated as an "organization" on April 30, 2019.

The provider is located at 425 MANOR DR SURING, WI 54174 and the phone number is (516) 605-9800.

Home Health with taxonomy code 251E00000X.

The provider might be accepting Accepts: CareSource (Common Ground Healthcare), Network. Please consult your insurance carrier or call the provider to verify.