Active NPI
700 S Bowie Dr Opco LLC
- Skilled Nursing Facility
- Weatherford, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- 700 S BOWIE DR OPCO LLC
- Practice address
- 700 S Bowie Dr
Weatherford, TX 76086-5140 - Phone
- (817) 594-2715
- Fax
- (817) 596-3130
- NPI assigned
- Jun 27, 2025
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
700 S Bowie Dr
Weatherford, TX 76086-5140
Mailing address
700 S Bowie Dr
Weatherford, TX 76086-5140
Phone (817) 594-2715
Other names 1
- Avir at Keeneland
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20251124000641 | TX | Part A Provider - Skilled Nursing Facility | 2668964040 | Practice locations: Weatherford, TX |
Skilled nursing facility certification: CCN 675708
- Legal name
- 700 S BOWIE DR OPCO LLC
- Doing business as
- AVIR AT KEENELAND
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF distinct part
- Participating since
- Jul 30, 1997
- Last certification
- Dec 19, 2024
- Beds
- 72
- Ownership / control type
- Limited Liability Corporation
- Most recent change of ownership
- Sep 1, 2025
- Organization structure
- LLC
- Enrollment address
- 700 S Bowie Dr
Weatherford, TX 76086-5140 - Nursing home name
- AVIR AT KEENELAND
- Affiliated entity
- AVIR HEALTH GROUP
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Avir at Keeneland
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Jul 30, 1997
- Medicare certification status
- Active
- Certified beds
- 72
- Chain
- Avir Health Group
- Ownership change
- Changed ownership in the last 12 months
National Provider Directory
National Provider DirectoryOwnership & 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.
| Name | Role | Since | Share |
|---|---|---|---|
| TX SNF Holdings Member, LLC | Indirect Ownership Interest | Sep 1, 2025 | 100% |
| Kris H Wusterhausen | Adp of the SNF | Sep 1, 2025 | |
| Faigy Goldberger | Indirect Ownership Interest | Sep 1, 2025 | 92% |
| Graf Holdings LLC | Indirect Ownership Interest | Sep 1, 2025 | 65% |
| Ana TX Holdings, LLC | Indirect Ownership Interest | Sep 1, 2025 | 35% |
| Nochum Freund | Corporate Officer | Sep 1, 2025 | |
| Indirect Ownership Interest | Sep 1, 2025 | 42.86% | |
| 700 S Bowie Dr Holdings LLC | Direct Ownership Interest | Sep 1, 2025 | 100% |
| Amitai Dagan | Indirect Ownership Interest | Sep 1, 2025 | 28.57% |
| Becky Faulkenberry | Adp of the SNF | Sep 1, 2025 | |
| Aaron Travitsky | Operational/Managerial Control | Sep 1, 2025 | |
| Indirect Ownership Interest | Sep 1, 2025 | 28.57% | |
| 700 S Bowie Dr Property Owner LLC | Adp of the SNF | Sep 1, 2025 | |
| Welltower NNN Group, LLC | Adp of the SNF | Sep 1, 2025 | |
| Welltower Op, LLC | Adp of the SNF | Sep 1, 2025 | |
| Abraham Goldberger | Indirect Ownership Interest | Sep 1, 2025 | 8% |
| Welltower Inc | Adp of the SNF | Sep 1, 2025 | |
| TX SNF Holdings II LLC | Indirect Ownership Interest | Sep 1, 2025 | 100% |
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.
-
- Family Medicine Physician
- Weatherford, TX
- NPI 1780681114
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": "1619865490",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 S BOWIE DR",
"city": "WEATHERFORD",
"state": "TX",
"postal_code": "760865140",
"telephone_number": "817-594-2715",
"fax_number": "817-596-3130"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 S BOWIE DR",
"city": "WEATHERFORD",
"state": "TX",
"postal_code": "760865140",
"telephone_number": "817-594-2715",
"fax_number": "817-596-3130"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "700 S BOWIE DR 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": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Avir at Keeneland",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Weatherford, TX
Sources for this page
- 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.