Organization Active NPI

4515 Village Creek Rd Opco LLC

  • Skilled Nursing Facility
  • Fort Worth, TX
National Provider Identifier
1689507683
Registry record updated Jul 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
4515 VILLAGE CREEK RD OPCO LLC
Practice address
4515 Village Creek Rd
Fort Worth, TX 76119-4158
Phone
(817) 451-8704
NPI assigned
Jun 8, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2026

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

Authorized official

Name
Nochum Freund
Title
Ceo
Phone
(732) 719-5098

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

4515 Village Creek Rd
Fort Worth, TX 76119-4158

Mailing address

4515 Village Creek Rd
Fort Worth, TX 76119-4158

Other names 1

  • Avir at Eastwood Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1780876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783555200000",
    "number": "1689507683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4515 VILLAGE CREEK RD",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761194158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4515 VILLAGE CREEK RD",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761194158",
            "telephone_number": "817-451-8704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "4515 VILLAGE CREEK RD OPCO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-08",
        "last_updated": "2026-07-09",
        "certification_date": "2026-07-09",
        "status": "A",
        "authorized_official_last_name": "FREUND",
        "authorized_official_first_name": "NOCHUM",
        "authorized_official_title_or_position": "CEO",
        "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 Eastwood",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.