Organization Active NPI

1424 Fallbrook Dr Opco LLC

Doing business as Avir at Veterans Memorial

  • Skilled Nursing Facility
  • Houston, TX
National Provider Identifier
1174411961
Registry record updated Jun 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
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, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2025

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)CodeLicenseStatePrimary
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 Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
LLCProprietary
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 MemorialCCN 676252 · All quality measures
Overall star rating
1 of 5
Health inspections
1 of 5
Staffing
2 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Jun 25, 2010
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
12098.3 residents per day on average
Chain
Avir Health Group116 facilities in the chain
Abuse citation
Cited for abuse (Care Compare abuse icon)
Penalties (3 years)
3Fines totaling $37,961

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2005960Avir at Veterans Memorial1424 Fallbrook Dr, Houston, TX 77038Certificate of waiverApr 7, 2028

National Provider Directory

National Provider Directory

Ownership & 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.

NameRoleSinceShare
TX SNF Holdings Member, LLC Organization, Jackson, NJ LLC, Owned by another organization or individual Indirect Ownership Interest Aug 1, 2025 100%
Faigy Goldberger Individual 5% Or Greater Indirect Ownership Interest59.8 Aug 1, 2025
Graf Holdings LLC Organization, Jackson, NJ LLC, Owned by another organization or individual Indirect Ownership Interest Aug 1, 2025 65%
Ana TX Holdings, LLC Organization, Jackson, NJ LLC, Owned by another organization or individual Indirect Ownership Interest Aug 1, 2025 35%
Nochum Freund Individual 5% Or Greater Indirect Ownership Interest Aug 1, 2025 15%
Corporate OfficerCeo Aug 1, 2025
1424 Fallbrook Dr Property Owner LLC Organization, Jackson, NJ LLC Adp of the SNF Aug 1, 2025
Shanae Wilbert Individual Adp of the SNF Aug 1, 2025
Amitai Dagan Individual 5% Or Greater Indirect Ownership Interest Aug 1, 2025 9.99%
Aaron Travitsky Individual 5% Or Greater Indirect Ownership Interest Aug 1, 2025 9.99%
Operational/Managerial Control Aug 1, 2025
Welltower NNN Group, LLC Organization, Jackson, NJ LLC Adp of the SNF Aug 1, 2025
1424 Fallbrook Dr Holdings LLC Organization, Jackson, NJ LLC, Owned by another organization or individual Direct Ownership Interest Aug 1, 2025 100%
Rachel M Suter Individual Adp of the SNF Aug 1, 2025
Welltower Op, LLC Organization, Jackson, NJ LLC Adp of the SNF Aug 1, 2025
Abraham Goldberger Individual 5% Or Greater Indirect Ownership Interest Aug 1, 2025 5.2%
Welltower Inc Organization, Jackson, NJ Corporation, Real estate investment trust (REIT) Adp of the SNF Aug 1, 2025
TX SNF Holdings II LLC Organization, Jackson, NJ LLC, Owned by another organization or individual 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.

Practitioners & affiliated clinicians

Affiliated clinicians 1

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": "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"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.