NPIMap

Organization Active NPI

Avon Nursing LLC

  • Skilled Nursing Facility
  • Avon, OH
National Provider Identifier
1366245789
Registry record updated Jul 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
AVON NURSING LLC
Practice address
32900 Detroit Rd
Avon, OH 44011-2018
Phone
(440) 937-6201
NPI assigned
Mar 31, 2025
Last updated
Jul 14, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2025

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

Authorized official

Name
Nate Behrem
Title
Council
Phone
(440) 937-6201

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

32900 Detroit Rd
Avon, OH 44011-2018

Mailing address

32900 Detroit Rd
Avon, OH 44011-2018
Phone (440) 937-6201

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250828003940 OH Part A Provider - Skilled Nursing Facility 1658872999 Practice locations: Avon, OH

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1366245789. Details of each certification follow.

Skilled nursing facility certification: CCN 365155

Legal name
AVON NURSING LLC
Doing business as
AVON PLACE HEALTHCARE CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Feb 28, 1967
Last certification
Jun 29, 2023
Beds
91
Ownership / control type
Corporation
Most recent change of ownership
May 1, 2025
Organization structure
LLCProprietary
Enrollment address
32900 Detroit Rd
Avon, OH 44011-2018
Nursing home name
AVON PLACE HEALTHCARE CENTER

Care Compare: Nursing home

Medicare Care Compare
Listed as
Avon Place Healthcare CenterCCN 365155 · All quality measures
Overall star rating
2 of 5
Health inspections
3 of 5
Staffing
1 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Feb 28, 1967
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
9182.0 residents per day on average

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 5

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

NameRoleSinceShare
Emad H Elbadawy Individual Adp of the SNF May 1, 2025
Chuchoter Bruit LLC Organization, Avon, OH LLC, Management services company Operational/Managerial Control May 1, 2025
Avon Opco Organization, Avon, OH Created for acquisition, LLC 5% Or Greater Direct Ownership Interest May 1, 2025 85%
Stefani Kaganoff Individual Adp of the SNF May 1, 2025
Jonathan Gewirtz Individual 5% Or Greater Direct Ownership InterestCfo May 1, 2025 15%
Operational/Managerial Control May 1, 2025

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

Practitioners 3

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 5

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": "1743379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752451200000",
    "number": "1366245789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32900 DETROIT RD",
            "city": "AVON",
            "state": "OH",
            "postal_code": "440112018",
            "telephone_number": "440-937-6201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32900 DETROIT RD",
            "city": "AVON",
            "state": "OH",
            "postal_code": "440112018",
            "telephone_number": "440-937-6201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVON NURSING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-31",
        "last_updated": "2025-07-14",
        "certification_date": "2025-07-14",
        "status": "A",
        "authorized_official_last_name": "BEHREM",
        "authorized_official_first_name": "NATE",
        "authorized_official_title_or_position": "COUNCIL",
        "authorized_official_telephone_number": "440-937-6201"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Avon, OH

Sources for this page

Verify at the official NPI Registry.