Bria of Columbia LP
Organization Active NPI Skilled Nursing Facility · Columbia, IL
NPI 1407586977 · NPPES record last updated Oct 16, 2024
Key facts
- NPI
- 1407586977
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- Legal business name
- BRIA OF COLUMBIA LP
- Practice address
- 253 Bradington Dr
Columbia, IL 62236-2519 - Phone
- (618) 281-6800
- Fax
- (618) 281-6557
- NPI assigned
- Jun 16, 2022
- Organization subpart
- No
Authorized official
- Name
- Mr. Avrum Weinfeld
- Title
- Cfo
- Phone
- (847) 933-9200
Owners & managing parties with NPI records 1
-
Navdeep Dhaliwal, M.D.
Affiliated clinicians 1
-
Navdeep Dhaliwal, M.D.
Medicare Care Compare: Nursing home
- Listed as
- Nexus at Columbia
- Overall star rating
- ★☆☆☆☆ 1 of 5
- Health inspections
- ★★☆☆☆ 2 of 5
- Staffing
- ★☆☆☆☆ 1 of 5
- Quality measures
- ★★☆☆☆ 2 of 5
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Feb 6, 1992
- Medicare certification status
- Active
- Certified beds
- 119 · 103.8 residents per day on average
- Penalties (3 years)
- 7 · fines totaling $338,854
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 14D0669900 | Bria of Columbia LLC | Certificate of waiver | Aug 31, 2026 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
Skilled nursing facility certification: CCN 145717
- Legal name
- BRIA OF COLUMBIA LP
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Feb 6, 1992
- Last certification
- Oct 25, 2024
- Beds
- 119
- Ownership / control type
- Limited Liability Corporation
- Most recent change of ownership
- Sep 1, 2022
- Organization structure
- Partnership · Proprietary
- Incorporated
- Jun 15, 2022 in IL
- Enrollment address
- 253 Bradington Dr
Columbia, IL 62236-2519
All disclosed owners & managing parties 22
| Name | Role | Since | Share |
|---|---|---|---|
| |
Adp of the SNF | Jan 6, 2025 | |
| Natan Weiss |
5% Or Greater Direct Ownership Interest |
Jul 1, 2022 | 28.33% |
| |
Adp of the SNF | Jan 6, 2025 | |
| |
Adp of the SNF | Jan 6, 2025 | |
| |
Adp of the SNF | Jan 6, 2025 | |
| |
Adp of the SNF | Jan 6, 2025 | |
| |
Adp of the SNF | Jan 6, 2025 | |
| Kim M Boulton |
W-2 Managing Employee |
Jul 1, 2022 | |
| |
Adp of the SNF | Jan 6, 2025 | |
| |
Adp of the SNF | Jan 6, 2025 | |
| |
Adp of the SNF | Jan 6, 2025 | |
| Avrum Weinfeld |
5% Or Greater Direct Ownership Interest |
Jul 1, 2022 | 28.34% |
| |
Adp of the SNF | Jan 6, 2025 | |
| Daniel T Weiss |
5% Or Greater Direct Ownership Interest |
Jul 1, 2022 | 28.33% |
| |
Adp of the SNF | Jan 6, 2025 | |
| |
Adp of the SNF | Jan 6, 2025 | |
| Dvorah S Weinfeld |
5% Or Greater Direct Ownership Interest | Jul 1, 2022 | 15% |
| Dorothy Weston |
W-2 Managing Employee |
Jan 1, 2024 | |
| Adp of the SNF | Jan 6, 2025 | ||
| |
Adp of the SNF | Jan 6, 2025 | |
| |
Adp of the SNF | Jan 6, 2025 | |
| |
Adp of the SNF | Jan 6, 2025 | |
| Navdeep Dhaliwal |
W-2 Managing Employee |
Jan 1, 2024 | |
| Adp of the SNF | Jan 6, 2025 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220906002037 | IL | Part a Provider - Skilled Nursing Facility | 8325422611 | Practice locations: Columbia, IL |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Yes |
Addresses
Primary practice location
253 Bradington Dr
Columbia, IL 62236-2519
Mailing address
5151 Church St
Skokie, IL 60077-1123
Phone (847) 933-9200
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | info@briahs.com | Health Information Exchange (HIE) |
Other providers in Columbia, IL
- Tami Boren
- Kristi K Bourisaw
- Julie Braun
- Nancy Patricia Braun
- Claire Breidenbach
- Amy Michelle Brown
- Michael J Budde
- Torey Byrd
- C James Anderson DPM LLC
- Ca Group, LLC
All providers in Columbia, IL · Skilled Nursing Facility in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 16, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.