Aventura Village LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

AVENTURA VILLAGE LLC

Doing business as

Aventura Village

Practice address

1500 Villa Rd
Springfield, OH 45503-1656

Phone

(937) 390-9000

NPI assigned

Nov 1, 2021

Organization subpart

No

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

Authorized official

Name

Mark Kaszirer

Title

Coo

Phone

(610) 686-3300

Specialties & licenses 1

Addresses

Other names 1

• Aventura Village Doing business as

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

{
    "created_epoch": "1635724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635724800000",
    "number": "1083379432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1105 E COUNTY LINE RD STE 206",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087012122",
            "telephone_number": "610-686-3300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 VILLA RD",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455031656",
            "telephone_number": "937-390-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVENTURA VILLAGE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-01",
        "last_updated": "2021-11-01",
        "certification_date": "2021-11-01",
        "status": "A",
        "authorized_official_last_name": "KASZIRER",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "610-686-3300"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aventura Village",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• David Aurigemma
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• Mario William Avery Sr.
• Marlene Avery
• Kendal Grace Ayers, M.D.
• Amos Kwaku Azidor
• Penny Jo Babalola, OTA/L

• Assisted Living Facility in Springfield, OH
• Providers in Springfield, OH by specialty
• Assisted Living Facility in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.