Organization Active NPI

Aventura at West Park LLC

Doing business as Aventura at West Park

  • Skilled Nursing Facility
  • Cincinnati, OH
National Provider Identifier
1144983784
Registry record updated Oct 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
AVENTURA AT WEST PARK LLC
Doing business as
Aventura at West Park
Practice address
2950 W Park Dr
Cincinnati, OH 45238-3599
Phone
(513) 451-9800
NPI assigned
Oct 20, 2021
Last updated
Oct 20, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2021

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

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

2950 W Park Dr
Cincinnati, OH 45238-3599

Mailing address

1105 E County Line Rd Ste 206
Lakewood, NJ 08701-2122
Phone (610) 686-3300

Other names 1

  • Aventura at West Park Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220425002278 OH Part A Provider - Skilled Nursing Facility 0446647200 Practice locations: Cincinnati, OH

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1144983784. Details of each certification follow.

Skilled nursing facility certification: CCN 365603

Legal name
AVENTURA AT WEST PARK LLC
Doing business as
AVENTURA AT WEST PARK
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jun 18, 1983
Last certification
Apr 17, 2024
Beds
125
Ownership / control type
Corporation
Multi-facility organization
AVENTURA HEALTH GROUP
Most recent change of ownership
Mar 1, 2022
Organization structure
LLCProprietary
Incorporated
Oct 5, 2021 in OH
Enrollment address
2950 W Park Dr
Cincinnati, OH 45238
Nursing home name
AVENTURA AT WEST PARK
Affiliated entity
AVENTURA HEALTH GROUP

Care Compare: Nursing home

Medicare Care Compare
Listed as
Aventura at West ParkCCN 365603 · All quality measures
Overall star rating
1 of 5
Health inspections
1 of 5
Staffing
1 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Jun 18, 1983
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
12582.1 residents per day on average
Chain
Aventura Health Group11 facilities in the chain
Penalties (3 years)
2Fines totaling $16,801

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
Aventura at West Park2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 6

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

NameRoleSinceShare
Eom Health Care Holdings LLC Organization, Lakewood, NJ LLC 5% Or Greater Direct Ownership Interest Mar 1, 2022 50%
Mordechai Scharf Individual Operational/Managerial ControlManager Mar 1, 2022
Awesome Healthcare Assets LLC Organization, Lakewood, NJ LLC 5% Or Greater Direct Ownership Interest Mar 1, 2022 50%
Moishe Kaszirer Individual Corporate OfficerChief Operations Officer Mar 1, 2022
Operational/Managerial ControlChief Operations Officer Mar 1, 2022
Syhehe Dotoa Trust Organization, Lakewood, NJ 5% Or Greater Indirect Ownership Interest Mar 1, 2022 47.5%
White Horse Family Trust Organization, Lakewood, NJ 5% Or Greater Indirect Ownership Interest Mar 1, 2022 47.5%

Facilities with the same owner 5

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 4

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1634688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634688000000",
    "number": "1144983784",
    "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": "2950 W PARK DR",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452383599",
            "telephone_number": "513-451-9800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVENTURA AT WEST PARK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-20",
        "last_updated": "2021-10-20",
        "certification_date": "2021-10-20",
        "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": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aventura at West Park",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.