Active NPI
1424 Fallbrook Dr Opco LLC
Doing business as Avir at Veterans Memorial
- Skilled Nursing Facility
- Houston, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- 1424 FALLBROOK DR OPCO LLC
- Doing business as
- Avir at Veterans Memorial
- Practice address
- 1424 Fallbrook Dr
Houston, TX 77038-1846 - Phone
- (346) 754-5070
- Fax
- (281) 741-0355
- NPI assigned
- Jun 27, 2025
- Last updated
- Jun 27, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Nochum Freund
- Title
- Manager
- Phone
- (732) 719-5098
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | NU | Primary |
Addresses
Primary practice location
1424 Fallbrook Dr
Houston, TX 77038-1846
Mailing address
1424 Fallbrook Dr
Houston, TX 77038-1846
Phone (346) 754-5070
Other names 1
- Avir at Veterans Memorial
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20251028002947 | TX | Part A Provider - Skilled Nursing Facility | 2769971027 |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1174411961. Details of each certification follow.
Skilled nursing facility certification: CCN 676252
- Legal name
- 1424 FALLBROOK DR OPCO LLC
- Doing business as
- AVIR AT VETERANS MEMORIAL
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF distinct part
- Participating since
- Jun 25, 2010
- Last certification
- Jan 31, 2025
- Beds
- 120
- Ownership / control type
- Limited Liability Corporation
- Organization structure
- LLC
- Enrollment address
- 1424 Fallbrook Dr
Houston, TX 77038-1846 - Nursing home name
- AVIR AT VETERANS MEMORIAL
- Affiliated entity
- AVIR HEALTH GROUP
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Avir at Veterans Memorial
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Jun 25, 2010
- Medicare certification status
- Active
- Certified beds
- 120
- Chain
- Avir Health Group
- Abuse citation
- Cited for abuse (Care Compare abuse icon)
- Penalties (3 years)
- 3
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D2005960 | Avir at Veterans Memorial | Certificate of waiver | Apr 7, 2028 |
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 16
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| TX SNF Holdings Member, LLC | Indirect Ownership Interest | Aug 1, 2025 | 100% |
| Faigy Goldberger | 5% Or Greater Indirect Ownership Interest | Aug 1, 2025 | |
| Graf Holdings LLC | Indirect Ownership Interest | Aug 1, 2025 | 65% |
| Ana TX Holdings, LLC | Indirect Ownership Interest | Aug 1, 2025 | 35% |
| Nochum Freund | 5% Or Greater Indirect Ownership Interest | Aug 1, 2025 | 15% |
| Corporate Officer | Aug 1, 2025 | ||
| 1424 Fallbrook Dr Property Owner LLC | Adp of the SNF | Aug 1, 2025 | |
| Shanae Wilbert | Adp of the SNF | Aug 1, 2025 | |
| Amitai Dagan | 5% Or Greater Indirect Ownership Interest | Aug 1, 2025 | 9.99% |
| Aaron Travitsky | 5% Or Greater Indirect Ownership Interest | Aug 1, 2025 | 9.99% |
| Operational/Managerial Control | Aug 1, 2025 | ||
| Welltower NNN Group, LLC | Adp of the SNF | Aug 1, 2025 | |
| 1424 Fallbrook Dr Holdings LLC | Direct Ownership Interest | Aug 1, 2025 | 100% |
| Rachel M Suter | Adp of the SNF | Aug 1, 2025 | |
| Welltower Op, LLC | Adp of the SNF | Aug 1, 2025 | |
| Abraham Goldberger | 5% Or Greater Indirect Ownership Interest | Aug 1, 2025 | 5.2% |
| Welltower Inc | Adp of the SNF | Aug 1, 2025 | |
| TX SNF Holdings II LLC | Indirect Ownership Interest | Aug 1, 2025 | 100% |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Geriatric Medicine (Internal Medicine) Physician
- Houston, TX
- NPI 1821344961
Adp of the SNF
Practitioners & affiliated clinicians
Affiliated clinicians 1
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Geriatric Medicine (Family Medicine) Physician
- Houston, TX
- NPI 1144403486
Nursing home
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1750982400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1750982400000",
"number": "1174411961",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1424 FALLBROOK DR",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770381846",
"telephone_number": "346-754-5070",
"fax_number": "281-741-0355"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1424 FALLBROOK DR",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770381846",
"telephone_number": "346-754-5070",
"fax_number": "281-741-0355"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "1424 FALLBROOK DR OPCO LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-06-27",
"last_updated": "2025-06-27",
"certification_date": "2025-06-27",
"status": "A",
"authorized_official_last_name": "FREUND",
"authorized_official_first_name": "NOCHUM",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "732-719-5098"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Avir at Veterans Memorial",
"code": "3",
"type": "Doing Business As"
}
]
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2025; 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.