Organization Active NPI

4300 Vista Rd Opco LLC

Doing business as Avir at Pasadena

  • Skilled Nursing Facility
  • Pasadena, TX
National Provider Identifier
1417845215
Registry record updated Jun 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
4300 VISTA RD OPCO LLC
Doing business as
Avir at Pasadena
Practice address
4300 Vista Rd
Pasadena, TX 77504-2118
Phone
(713) 946-6787
Fax
(713) 946-0352
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

4300 Vista Rd
Pasadena, TX 77504-2118

Mailing address

4300 Vista Rd
Pasadena, TX 77504-2118
Phone (713) 946-6787

Other names 1

  • Avir at Pasadena Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251111001950 TX Part A Provider - Skilled Nursing Facility 7113418856 Practice locations: Pasadena, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1417845215. Details of each certification follow.

Skilled nursing facility certification: CCN 675625

Legal name
4300 VISTA RD OPCO LLC
Doing business as
AVIR AT PASADENA
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Sep 11, 1996
Last certification
Nov 21, 2024
Beds
131
Ownership / control type
Limited Liability Corporation
Multi-facility organization
AVIR HEALTH GROUP
Most recent change of ownership
Aug 1, 2025
Organization structure
LLCProprietary
Enrollment address
4300 Vista Rd
Pasadena, TX 77504-2118
Nursing home name
AVIR AT PASADENA
Affiliated entity
AVIR HEALTH GROUP

Care Compare: Nursing home

Medicare Care Compare
Listed as
Avir at PasadenaCCN 675625 · All quality measures
Overall star rating
4 of 5
Health inspections
3 of 5
Staffing
2 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Sep 11, 1996
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
131101.6 residents per day on average
Chain
Avir Health Group116 facilities in the chain
Penalties (3 years)
2Fines totaling $30,361
Ownership change
Changed ownership in the last 12 months

Processed by Care Compare on Aug 1, 2026.

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 Indirect Ownership Interest Aug 1, 2025 59.8%
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%
4300 Vista Rd Holdings LLC Organization, Jackson, NJ LLC, Owned by another organization or individual Direct Ownership Interest Aug 1, 2025 100%
Nochum Freund Individual Corporate OfficerCeo Aug 1, 2025
Operational/Managerial Control Aug 1, 2025
Indirect Ownership Interest Aug 1, 2025 15%
4300 Vista Rd Property Owner LLC Organization, Toledo, OH Real estate investment trust (REIT) Adp of the SNF Aug 1, 2025
Amitai Dagan Individual Indirect Ownership Interest Aug 1, 2025 9.99%
Kimberly a Weathers Individual Operational/Managerial Control Aug 1, 2025
Adp of the SNF Aug 1, 2025
Aaron Travitsky Individual Operational/Managerial Control Aug 1, 2025
Indirect Ownership Interest Aug 1, 2025 9.99%
Welltower NNN Group, LLC Organization, Toledo, OH LLC, Real estate investment trust (REIT) Adp of the SNF Aug 1, 2025
Thandavarajan Gopalakrishnan Individual Operational/Managerial Control Aug 1, 2025
Adp of the SNF Aug 1, 2025
Welltower Op, LLC Organization, Toledo, OH LLC, Real estate investment trust (REIT) Adp of the SNF Aug 1, 2025
Abraham Goldberger Individual Indirect Ownership Interest Aug 1, 2025 5.2%
Welltower Inc Organization, Toledo, OH 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

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 1

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 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": "1417845215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 VISTA RD",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775042118",
            "telephone_number": "713-946-6787",
            "fax_number": "713-946-0352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 VISTA RD",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775042118",
            "telephone_number": "713-946-6787",
            "fax_number": "713-946-0352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "4300 VISTA RD 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 Pasadena",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pasadena, TX

Sources for this page

Verify at the official NPI Registry.