NPIMap

Organization Active NPI

Bria of Alton LP

  • Skilled Nursing Facility
  • Alton, IL
National Provider Identifier
1497485965
Registry record updated Oct 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
BRIA OF ALTON LP
Practice address
3523 Wickenhauser Ave
Alton, IL 62002-2118
Phone
(618) 465-8887
Fax
(618) 465-1811
NPI assigned
Jun 16, 2022
Last updated
Oct 16, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2024

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

Authorized official

Name
Avrun Weinfeld
Title
Cfo
Phone
(847) 933-9200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

3523 Wickenhauser Ave
Alton, IL 62002-2118

Mailing address

5151 Church St
Skokie, IL 60077-1123
Phone (847) 933-9200

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220921000803 IL Part A Provider - Skilled Nursing Facility 8426433871 Practice locations: Alton, IL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1497485965. Details of each certification follow.

Skilled nursing facility certification: CCN 145427

Legal name
BRIA OF ALTON LP
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF distinct part
Participating since
Aug 28, 1981
Last certification
May 10, 2024
Beds
181
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Bria Health Services
Most recent change of ownership
Sep 1, 2022
Organization structure
PartnershipProprietary
Enrollment address
3523 Wickenhauser Ave
Alton, IL 62002-2118

Care Compare: Nursing home

Medicare Care Compare
Listed as
Nexus at AltonCCN 145427 · All quality measures
Overall star rating
1 of 5
Health inspections
1 of 5
Staffing
1 of 5
Quality measures
2 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Aug 28, 1981
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
18175.3 residents per day on average
Abuse citation
Cited for abuse (Care Compare abuse icon)
Penalties (3 years)
8Fines totaling $392,111

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
14D0699261Bria of Alton LLC3523 Wickenhauser, Alton, IL 62002Certificate of waiverMar 29, 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
Wheat Chaff LP Organization, Skokie, IL For-profit 5% Or Greater Direct Ownership Interest Jan 1, 2024 1%
Avrum Weinfeld Individual 5% Or Greater Direct Ownership InterestCfo Jul 1, 2022 1%
Operational/Managerial Control Sep 1, 2022
Forge Investments LP Organization, Skokie, IL For-profit 5% Or Greater Direct Ownership Interest Jan 1, 2025 97%
Daniel T Weiss Individual 5% Or Greater Direct Ownership InterestCeo Jul 1, 2022 1%
Operational/Managerial Control Jul 1, 2022
Christine Davis Individual Operational/Managerial Control Jan 1, 2024
Adp of the SNF Jan 1, 2024
Navdeep Dhaliwal Individual Operational/Managerial Control Jan 1, 2024
Adp of the SNF Jan 1, 2024

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 5

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

Practitioners & affiliated clinicians

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": "1655337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729036800000",
    "number": "1497485965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5151 CHURCH ST",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600771123",
            "telephone_number": "847-933-9200",
            "fax_number": "847-933-9765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3523 WICKENHAUSER AVE",
            "city": "ALTON",
            "state": "IL",
            "postal_code": "620022118",
            "telephone_number": "618-465-8887",
            "fax_number": "618-465-1811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIA OF ALTON LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-16",
        "last_updated": "2024-10-16",
        "certification_date": "2024-10-16",
        "status": "A",
        "authorized_official_last_name": "WEINFELD",
        "authorized_official_first_name": "AVRUN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "847-933-9200"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alton, IL

Sources for this page

Verify at the official NPI Registry.