Organization Active NPI

700 S Bowie Dr Opco LLC

  • Skilled Nursing Facility
  • Weatherford, TX
National Provider Identifier
1619865490
Registry record updated Jun 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
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

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 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 Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
LLCProprietary
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 KeenelandCCN 675708
Overall star rating
3 of 5
Health inspections
4 of 5
Staffing
1 of 5
Quality measures
2 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Jul 30, 1997
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
7240.9 residents per day on average
Chain
Avir Health Group116 facilities in the chain
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 Sep 1, 2025 100%
Kris H Wusterhausen Individual Adp of the SNF Sep 1, 2025
Faigy Goldberger Individual Indirect Ownership Interest Sep 1, 2025 92%
Graf Holdings LLC Organization, Jackson, NJ LLC, Owned by another organization or individual Indirect Ownership Interest Sep 1, 2025 65%
Ana TX Holdings, LLC Organization, Jackson, NJ LLC, Owned by another organization or individual Indirect Ownership Interest Sep 1, 2025 35%
Nochum Freund Individual Corporate OfficerCeo Sep 1, 2025
Indirect Ownership Interest Sep 1, 2025 42.86%
700 S Bowie Dr Holdings LLC Organization, Jackson, NJ LLC, Owned by another organization or individual Direct Ownership Interest Sep 1, 2025 100%
Amitai Dagan Individual Indirect Ownership Interest Sep 1, 2025 28.57%
Becky Faulkenberry Individual Adp of the SNF Sep 1, 2025
Aaron Travitsky Individual Operational/Managerial Control Sep 1, 2025
Indirect Ownership Interest Sep 1, 2025 28.57%
700 S Bowie Dr Property Owner LLC Organization, Jackson, NJ LLC Adp of the SNF Sep 1, 2025
Welltower NNN Group, LLC Organization, Jackson, NJ LLC Adp of the SNF Sep 1, 2025
Welltower Op, LLC Organization, Jackson, NJ LLC Adp of the SNF Sep 1, 2025
Abraham Goldberger Individual Indirect Ownership Interest Sep 1, 2025 8%
Welltower Inc Organization, Jackson, NJ Corporation, Real estate investment trust (REIT) Adp of the SNF Sep 1, 2025
TX SNF Holdings II LLC Organization, Jackson, NJ LLC, Owned by another organization or individual 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.

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

Verify at the official NPI Registry.