Bria of Woodriver LP

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

BRIA OF WOODRIVER LP

Practice address

393 E Edwardsville Rd
Wood River, IL 62095-1646

Phone

(618) 259-4111

Fax

(618) 259-5791

NPI assigned

Jun 16, 2022

Last updated

Oct 16, 2024By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Avrum Weinfeld

Title

Cfo

Phone

(847) 933-9200

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1023748597. Details of each certification follow.

• CCN 145655 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 145655

Legal name

BRIA OF WOODRIVER LP

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Oct 1, 1989

Last certification

Sep 13, 2024

Beds

106

Ownership / control type

Limited Liability Corporation

Organization structure

PartnershipProprietary

Incorporated

Jun 14, 2022 in IL

Enrollment address

393 E Edwardsville Rd
Wood River, IL 62095-1646

Nursing home name

BRIA OF WOODRIVER

Affiliated entity

BRIA HEALTH SERVICES

Listed as

Bria of WoodriverCCN 145655 · All quality measures

Overall star rating

1 of 5

Health inspections

1 of 5

Staffing

1 of 5

Quality measures

3 of 5

Type

Medicare and Medicaid

Ownership

For profit - Limited Liability company

Certified

Oct 1, 1989

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

10679.2 residents per day on average

Chain

Bria Health Services10 facilities in the chain

Special focus status

SFF Candidate

Abuse citation

Cited for abuse (Care Compare abuse icon)

Penalties (3 years)

8Fines totaling $468,820

Processed by Care Compare on Aug 1, 2026.

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

All disclosed owners & managing parties 7

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

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Navdeep Dhaliwal, M.D.

  • Internal Medicine Physician
  • Mount Vernon, WA
  • NPI 1477968337

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1655337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729036800000",
    "number": "1023748597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5151 CHURCH ST",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600771123",
            "telephone_number": "847-933-9200",
            "fax_number": "847-933-9765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "393 E EDWARDSVILLE RD",
            "city": "WOOD RIVER",
            "state": "IL",
            "postal_code": "620951646",
            "telephone_number": "618-259-4111",
            "fax_number": "618-259-5791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIA OF WOODRIVER LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-16",
        "last_updated": "2024-10-16",
        "certification_date": "2024-10-14",
        "status": "A",
        "authorized_official_last_name": "WEINFELD",
        "authorized_official_first_name": "AVRUM",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "847-933-9200"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachael Ann Beard, RN, BSN, M.ED
• Behavioral Health Alternatives, Inc
• Beverly Enterprises - Illinois, Inc. (VIP Manor)
• Jared Andrew Blaylock, PHARMD
• Bravo Care of Wood River Inc
• Bob Burris, M.D.
• Laura Burton
• Keith N Byler, D. O.
• Caldieraro Family Dentistry, PC
• Camp Drugs, Inc (camp drug store)

• Skilled Nursing Facility in Wood River, IL
• Providers in Wood River, IL by specialty
• Skilled Nursing Facility in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.