Organization Active NPI

Aventura at Creekside LLC

Doing business as Aventura at Creekside

  • Skilled Nursing Facility
  • Carbondale, PA
National Provider Identifier
1851874002
Registry record updated Oct 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
AVENTURA AT CREEKSIDE LLC
Doing business as
Aventura at Creekside
Practice address
45 N Scott St
Carbondale, PA 18407-1833
Phone
(570) 282-1099
NPI assigned
Sep 13, 2018
Last updated
Oct 20, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2021

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

Authorized official

Name
Mr. Moishe Kaszirer
Title
Member
Phone
(718) 837-7700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NU Primary

Addresses

Primary practice location

45 N Scott St
Carbondale, PA 18407-1833

Mailing address

1072 Madison Ave
Lakewood, NJ 08701-2650

Other names 1

  • Aventura at Creekside Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190104000581 PA Part A Provider - Skilled Nursing Facility 1951647494 Practice locations: Carbondale, PA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1851874002. Details of each certification follow.

Skilled nursing facility certification: CCN 395984

Legal name
AVENTURA AT CREEKSIDE LLC
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Apr 26, 1996
Last certification
Oct 4, 2024
Beds
81
Ownership / control type
Corporation
Multi-facility organization
Aventura Health Group
Organization structure
CorporationProprietary
Incorporated
Jun 29, 2018 in PA
Enrollment address
45 N Scott St
Carbondale, PA 18407-1833
Nursing home name
AVENTURA AT CREEKSIDE
Affiliated entity
AVENTURA HEALTH GROUP

Care Compare: Nursing home

Medicare Care Compare
Listed as
Aventura at CreeksideCCN 395984 · All quality measures
Overall star rating
1 of 5
Health inspections
1 of 5
Staffing
3 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Apr 26, 1996
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
8176.3 residents per day on average
Chain
Aventura Health Group11 facilities in the chain
Penalties (3 years)
2Fines totaling $136,785

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
39D0912179Aventura at Creekside45 North Scott Street, Carbondale, PA 18407Certificate of waiverFeb 25, 2028

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 5

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
CPP Senior Holdings LLC Organization, Wilmington, DE LLC, For-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Dec 1, 2018 100%
Individual Adp of the SNF Dec 9, 2024
Moishe Kaszirer Individual 5% Or Greater Indirect Ownership Interest Dec 1, 2018 25%
Operational/Managerial ControlManager Dec 1, 2018 100%
Allen J Orehek Individual Operational/Managerial Control Dec 1, 2018
Adp of the SNF Jan 21, 2025
Steven Panick Individual Adp of the SNF Jan 21, 2025

Owners & managing parties with NPI records 1

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

Facilities with the same owner 2

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

Practitioners & affiliated clinicians

Practitioners 2

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.

Affiliated clinicians 2

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": "1536796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634688000000",
    "number": "1851874002",
    "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": "45 N SCOTT ST",
            "city": "CARBONDALE",
            "state": "PA",
            "postal_code": "184071833",
            "telephone_number": "570-282-1099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVENTURA AT CREEKSIDE 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",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aventura at Creekside",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Carbondale, PA

Sources for this page

Verify at the official NPI Registry.