NPIMap

Organization Active NPI

Great Bend SNF, LLC

Doing business as Azria Health Great Bend

  • Skilled Nursing Facility
  • Great Bend, KS
National Provider Identifier
1861094328
Registry record updated Jan 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
GREAT BEND SNF, LLC
Doing business as
Azria Health Great Bend
Practice address
1560 K 96 Hwy
Great Bend, KS 67530-3012
Phone
(620) 792-2448
NPI assigned
Nov 10, 2020
Last updated
Jan 25, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2021

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

Authorized official

Name
Mr. Aaron Kaminer
Title
Manager
Phone
(908) 399-4918

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

1560 K 96 Hwy
Great Bend, KS 67530-3012

Mailing address

702 S Highway 6
Gretna, NE 68028-7970
Phone (908) 399-4918

Other names 2

  • Azria Health Great Bend Doing business as
  • Anew Healthcare Operations - GB, LLC Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210302000824 IL Part A Provider - Skilled Nursing Facility 8527474402 Practice locations: Great Bend, KS

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1861094328. Details of each certification follow.

Skilled nursing facility certification: CCN 175291

Legal name
GREAT BEND SNF, LLC
Doing business as
AZRIA HEALTH WOODHAVEN
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Apr 1, 1994
Last certification
Nov 7, 2023
Beds
85
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Azria Health
Organization structure
LLCProprietary
Enrollment address
1560 K96 Highway
Great Bend, KS 67530-3012
Nursing home name
AZRIA HEALTH GREAT BEND
Affiliated entity
AZRIA HEALTH

Care Compare: Nursing home

Medicare Care Compare
Listed as
Azria Health Great BendCCN 175291 · All quality measures
Overall star rating
2 of 5
Health inspections
2 of 5
Staffing
2 of 5
Quality measures
2 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Apr 1, 1994
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
8570.4 residents per day on average
Chain
Azria Health9 facilities in the chain
Penalties (3 years)
4Fines totaling $59,830

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & related parties

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.

NameRoleSinceShare
Steven B Hornung Individual 5% Or Greater Indirect Ownership Interest Feb 1, 2021 50%
Corporate Officer Feb 1, 2021
Operational/Managerial Control Feb 1, 2021
Azria Ventures LLC Organization, Gretna, NE LLC, For-profit 5% Or Greater Indirect Ownership Interest Feb 1, 2021 100%
Operational/Managerial Control Feb 1, 2021
Azg Opco Holdings LLC Organization, Gretna, NE Created for acquisition, LLC, For-profit 5% Or Greater Direct Ownership Interest Feb 1, 2021 100%
Operational/Managerial Control Feb 1, 2021
Aaron Noah Kaminer Individual 5% Or Greater Indirect Ownership Interest Feb 1, 2021 50%
Corporate OfficerManager Feb 1, 2021 100%
Operational/Managerial ControlManager Feb 1, 2021 100%

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 15

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1604966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611532800000",
    "number": "1861094328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 S HIGHWAY 6",
            "city": "GRETNA",
            "state": "NE",
            "postal_code": "680287970",
            "telephone_number": "908-399-4918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1560 K 96 HWY",
            "city": "GREAT BEND",
            "state": "KS",
            "postal_code": "675303012",
            "telephone_number": "620-792-2448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREAT BEND SNF, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-10",
        "last_updated": "2021-01-25",
        "certification_date": "2021-01-25",
        "status": "A",
        "authorized_official_last_name": "KAMINER",
        "authorized_official_first_name": "AARON",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "908-399-4918",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Azria Health Great Bend",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Anew Healthcare Operations - GB, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Great Bend, KS

Sources for this page

Verify at the official NPI Registry.