DYERSBURG HEALTH AND REHABILITATION CENTER
NPI 1942954060
Skilled Nursing Facility in Dyersburg, TN

Active since February 08, 2022CLIA 44D0897283 · Waiver
350 E TICKLE ST, DYERSBURG, TN 38024(731) 285-9710(731) 285-9949 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 8, 2022 (2 updates tracked since 2022).

About Dyersburg Health And Rehabilitation Center NPPES

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

DYERSBURG HEALTH AND REHABILITATION CENTER (NPI 1942954060) is a healthcare organization registered as a skilled nursing facility in Dyersburg, Tennessee and active in the NPI registry since February 2022. The organization holds a CLIA Waiver certificate valid through January 31, 2027 and lists Menachem Ruvel, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1942954060
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameTHE BAY AT DYERSBURG HEALTH AND REHABILITATION CENTER LLC
Location Address350 E TICKLE STDyersburg, TN 38024-3118
Mailing Address350 E Tickle StDyersburg, TN 38024-3118 · (731) 285-9710 · Fax (731) 285-9949
Fax(731) 285-9949
Organization SubpartNo
Authorized OfficialMenachem RuvelManaging Member · (516) 605-9800
Enumeration DateFebruary 8, 2022
Last NPPES UpdateSeptember 8, 20232 updates tracked since enumeration
NPPES CertifiedSeptember 8, 2023
NPI 1942954060 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
Definition

(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.

350 E TICKLE ST, Dyersburg, TN 38024

Other Names 1

Doing Business AsDyersburg Health And Rehabilitation Center

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

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 44D0897283

Dyersburg Health And Rehabilitation Center · Dyersburg, TN
Active · expires Jan 31, 2027
CLIA Number44D0897283
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateFebruary 1, 2025
Certificate Expiration DateJanuary 31, 2027
Laboratory DirectorCristy L. Richards
Laboratory Phone(731) 285-9710
Laboratory LocationDyersburg Health And Rehabilitation Center350 East Tickle Street, Dyersburg, TN 38024
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 8

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

Physical Therapy Assistant
350 E TICKLE ST
DYERSBURG, TN 38024
Nursing Facility/Intermediate Care Facility
350 E TICKLE ST
DYERSBURG, TN 38024
Occupational Therapist
350 E TICKLE ST
DYERSBURG, TN 38024
Skilled Nursing Facility
350 E TICKLE ST
DYERSBURG, TN 38024
Skilled Nursing Facility
350 E TICKLE ST
DYERSBURG, TN 38024
Nurse Practitioner (Family)
350 E TICKLE ST
DYERSBURG, TN 38024
Psychologist (Clinical)
350 E TICKLE ST
DYERSBURG, TN 38024
Speech-Language Pathologist
350 E TICKLE ST
DYERSBURG, TN 38024

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1942954060, enumerated as an "organization" on February 08, 2022.

The provider is located at 350 E TICKLE ST DYERSBURG, TN 38024 and the phone number is (731) 285-9710.

Skilled Nursing Facility with taxonomy code 314000000X.

The provider might be accepting Accepts: BlueCross BlueShield of Tennessee. Please consult your insurance carrier or call the provider to verify.