Organization Active NPI

Aria at Villa Pines LLC

  • Skilled Nursing Facility
  • Friendship, WI
National Provider Identifier
1235973561
Registry record updated Jun 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
ARIA AT VILLA PINES LLC
Practice address
201 S Park Ave
Friendship, WI 53934-9377
Phone
(847) 983-4860
NPI assigned
Jun 21, 2024
Last updated
Jun 21, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2024

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

Authorized official

Name
Akiva Brandman
Title
Member
Phone
(847) 983-4860

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

201 S Park Ave
Friendship, WI 53934-9377

Mailing address

5454 Fargo Ave
Skokie, IL 60077-3210
Phone (847) 983-4860

National Provider Directory

National Provider Directory

Locations

201 S Park Ave
Friendship, WI 53934
Phone (608) 339-3361

NPI Registry JSON

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

{
    "created_epoch": "1718928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718928000000",
    "number": "1235973561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5454 FARGO AVE",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600773210",
            "telephone_number": "847-983-4860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 S PARK AVE",
            "city": "FRIENDSHIP",
            "state": "WI",
            "postal_code": "539349377",
            "telephone_number": "847-983-4860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARIA AT VILLA PINES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-21",
        "last_updated": "2024-06-21",
        "certification_date": "2024-06-21",
        "status": "A",
        "authorized_official_last_name": "BRANDMAN",
        "authorized_official_first_name": "AKIVA",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "847-983-4860"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Friendship, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2024; 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.