NPIMap

Organization Active NPI

Azw, LLC

  • Skilled Nursing Facility
  • Wichita, KS
National Provider Identifier
1255901880
Registry record updated Jun 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
AZW, LLC
Practice address
7057 W Village Cir
Wichita, KS 67205-1509
Phone
(316) 977-7015
NPI assigned
Jun 27, 2021
Last updated
Jun 27, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2021

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

Authorized official

Name
Aaron Kaminer
Title
Manager
Phone
(316) 977-7015

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X NU
Skilled Nursing Facility 314000000X NU Primary

Addresses

Primary practice location

7057 W Village Cir
Wichita, KS 67205-1509

Mailing address

2401 E 8TH St
Des Moines, IA 50316-1717

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211014001829 KS Part A Provider - Skilled Nursing Facility 6901204312 Practice locations: Wichita, KS

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1255901880. Details of each certification follow.

Skilled nursing facility certification: CCN 175563

Legal name
AZW, LLC
Doing business as
AZRIA HEALTH WICHITA
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
May 2, 2019
Last certification
Apr 15, 2024
Beds
94 (70 certified)
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Azria Health
Organization structure
LLCProprietary
Enrollment address
7057 W Village Cir
Wichita, KS 67205-1509
Nursing home name
AZRIA HEALTH WICHITA
Affiliated entity
AZRIA HEALTH

Care Compare: Nursing home

Medicare Care Compare
Listed as
Azria Health WichitaCCN 175563 · All quality measures
Overall star rating
3 of 5
Health inspections
3 of 5
Staffing
4 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
May 2, 2019
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
7061.7 residents per day on average
Chain
Azria Health9 facilities in the chain

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
17D2162900Azria Health Wichita7057 W Village Circle, Wichita, KS 67205Certificate of waiverMar 3, 2027

National Provider Directory

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
Steven B Hornung Individual 5% Or Greater Indirect Ownership Interest Oct 1, 2021 24%
Operational/Managerial ControlCo-Manager of the Manager Oct 1, 2021
Darcy Bluma Individual W-2 Managing EmployeeAdministrator Oct 1, 2021
Wichita Az Opco Holdings LLC Organization, Des Moines, IA LLC, Holding company, For-profit 5% Or Greater Direct Ownership Interest Oct 1, 2021 100%
Aaron Noah Kaminer Individual 5% Or Greater Indirect Ownership Interest Oct 1, 2021 76%
Operational/Managerial ControlCo-Manager of the Manager Oct 1, 2021
BCP Iowa Opco Holdings LLC Organization, Des Moines, IA LLC, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Oct 1, 2021 100%
Operational/Managerial Control Oct 1, 2021
Azw Opco Manager LLC Organization, Des Moines, IA LLC, Holding company, For-profit Operational/Managerial Control Oct 1, 2021

Facilities with the same owner 5

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

Practitioners & affiliated clinicians

Practitioners 2

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": "1624752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624752000000",
    "number": "1255901880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 E 8TH ST",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503161717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7057 W VILLAGE CIR",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672051509",
            "telephone_number": "316-977-7015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AZW, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-27",
        "last_updated": "2021-06-27",
        "certification_date": "2021-06-27",
        "status": "A",
        "authorized_official_last_name": "KAMINER",
        "authorized_official_first_name": "AARON",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "316-977-7015"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.