413 Mansfield Cardinal Rd Opco LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

413 MANSFIELD CARDINAL RD OPCO LLC

Doing business as

Avir at Kennedale

Practice address

413 Mansfield Cardinal Rd
Kennedale, TX 76060-2805

Phone

(817) 561-4495

Fax

(817) 561-6033

NPI assigned

Jun 27, 2025

Last updated

Jun 27, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Nochum Freund

Title

Manager

Phone

(817) 561-4495

Specialties & licenses 1

Addresses

Other names 1

• Avir at Kennedale Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1508754391. Details of each certification follow.

• CCN 675270 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 675270

Legal name

413 MANSFIELD CARDINAL RD OPCO LLC

Doing business as

AVIR AT KENNEDALE

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF distinct part

Participating since

Jan 31, 1994

Last certification

Jul 16, 2024

Beds

58

Ownership / control type

Corporation

Most recent change of ownership

Sep 1, 2025

Organization structure

LLCProprietary

Enrollment address

413 Mansfield Cardinal Rd
Kennedale, TX 76060-2805

Nursing home name

AVIR AT KENNEDALE

Affiliated entity

AVIR HEALTH GROUP

Listed as

Avir at KennedaleCCN 675270 · All quality measures

Overall star rating

1 of 5

Health inspections

2 of 5

Staffing

1 of 5

Quality measures

3 of 5

Type

Medicare and Medicaid

Ownership

For profit - Corporation

Certified

Jan 31, 1994

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

5837.6 residents per day on average

Chain

Avir Health Group116 facilities in the chain

Penalties (3 years)

1Fines totaling $16,437

Ownership change

Changed ownership in the last 12 months

Processed by Care Compare on Aug 1, 2026.

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.

Owners & managing parties with NPI records 1

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

• Nooman Silat, M.D.

  • Internal Medicine Physician
  • Arlington, TX
  • NPI 1275768590

  Adp of the SNF

  CMS ownership

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Ahmad Ghassan Abazid, M.D

  • Family Medicine Physician
  • Richardson, TX
  • NPI 1013238401

  Nursing home

  Care Compare affiliation
• Rui Carlos Benevides II, M.D.

  • Internal Medicine Physician
  • Dallas, TX
  • NPI 1093973216

  Nursing home

  Care Compare affiliation

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": "1508754391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "413 MANSFIELD CARDINAL RD",
            "city": "KENNEDALE",
            "state": "TX",
            "postal_code": "760602805",
            "telephone_number": "817-561-4495",
            "fax_number": "817-561-6033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "413 MANSFIELD CARDINAL RD",
            "city": "KENNEDALE",
            "state": "TX",
            "postal_code": "760602805",
            "telephone_number": "817-561-4495",
            "fax_number": "817-561-6033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "413 MANSFIELD CARDINAL 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": "817-561-4495"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Avir at Kennedale",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rebecca Abunga, NP
• Achava Care, Inc.
• Abiola Olawande Adeniji, DPT
• Adiel, Inc.
• Amen Doctor's Choice and More LLC

• Skilled Nursing Facility in Kennedale, TX
• Providers in Kennedale, TX by specialty
• Skilled Nursing Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.