Aventura at Pembrooke, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

AVENTURA AT PEMBROOKE, LLC

Doing business as

Aventura at Pembrooke

Practice address

1130 W Chester Pike
West Chester, PA 19382-5005

Phone

(610) 692-3636

NPI assigned

Sep 13, 2018

Last updated

Oct 20, 2021By 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

Moishe Kaszirer

Title

Member

Phone

(718) 837-7700

Specialties & licenses 1

Addresses

Other names 1

• Aventura at Pembrooke Doing business as

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1740763895. Details of each certification follow.

• CCN 395166B Skilled nursing facility · Details

Skilled nursing facility certification: CCN 395166B

Legal name

AVENTURA AT PEMBROOKE LLC

Organization structure

CorporationProprietary

Incorporated

Jun 29, 2018 in PA

Enrollment address

1130 W Chester Pike
West Chester, PA 19382-5005

Nursing home name

AVENTURA AT PEMBROOKE

Affiliated entity

AVENTURA HEALTH GROUP

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 4

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.

• Sanjay P Bhatia, MD

  • Internal Medicine Physician
  • Levittown, PA
  • NPI 1942244405

  Adp of the SNF

  CMS ownership

Facilities with the same owner 2

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

• Aventura at Creekside LLC

  dba Aventura at Creekside

  • Skilled Nursing Facility
  • Carbondale, PA
  • NPI 1851874002

  CPP Senior Holdings LLC

  CMS ownership
• Aventura at Prospect, LLC

  dba Aventura at Prospect

  • Skilled Nursing Facility
  • Prospect Park, PA
  • NPI 1720561871

  CPP Senior Holdings LLC

  CMS ownership

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Vinod Kumar Kataria, M.D.

  • Internal Medicine Physician
  • West Chester, PA
  • NPI 1063441954
  NPD (past)
• Shabih U Khan, MD

  • Internal Medicine Physician
  • West Chester, PA
  • NPI 1578571063
  NPD (past)
• Cameron Moore, MD

  • Family Medicine Physician
  • Norristown, PA
  • NPI 1962932897
  NPD (past)

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

{
    "created_epoch": "1536796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634688000000",
    "number": "1740763895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1072 MADISON AVE",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087012650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 W CHESTER PIKE",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193825005",
            "telephone_number": "610-692-3636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVENTURA AT PEMBROOKE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-13",
        "last_updated": "2021-10-20",
        "certification_date": "2021-10-20",
        "status": "A",
        "authorized_official_last_name": "KASZIRER",
        "authorized_official_first_name": "MOISHE",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "718-837-7700"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aventura at Pembrooke",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Aum Physical Therapy, P.C.
• Sadaf Ausaf, M.D.
• Chloe Austin
• Monica R Austin, PH
• Katherine Auwaeter
• Muhammet Mert Ayanoglu, MD
• David Ayers, LPC
• Christopher L Aylsworth, PA-C
• Ayo Maria Gooden, PH.D., Abpbc, LLC
• Steven Back, M.D., PH.D.

• Skilled Nursing Facility in West Chester, PA
• Providers in West Chester, PA by specialty
• Skilled Nursing Facility in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2021; 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.