NPIMap

Organization Active NPI

Aventura at Carriage Inn LLC

  • Skilled Nursing Facility
  • Dayton, OH
National Provider Identifier
1871256487
Registry record updated Oct 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
AVENTURA AT CARRIAGE INN LLC
Doing business as
AVENTURA AT CARRIAGE INN
Practice address
5040 Philadelphia Dr
Dayton, OH 45415-3604
Phone
(937) 278-0404
NPI assigned
Oct 20, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2023

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

Authorized official

Name
Mark Kaszirer
Title
Coo
Phone
(610) 686-3300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

5040 Philadelphia Dr
Dayton, OH 45415-3604

Mailing address

1105 E County Line Rd Ste 206
Lakewood, NJ 08701-2122
Phone (610) 686-3300

Other names 1

  • AVENTURA AT CARRIAGE INN Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220110002168 OH Part A Provider - Skilled Nursing Facility 0244622918 Practice locations: Dayton, OH

Skilled nursing facility certification: CCN 365876

Legal name
AVENTURA AT CARRIAGE INN LLC
Doing business as
AVENTURA AT CARRIAGE INN
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Sep 1, 1992
Last certification
Dec 12, 2024
Beds
85
Ownership / control type
Corporation
Multi-facility organization
Aventura Health Group
Most recent change of ownership
Dec 1, 2021
Organization structure
LLCProprietary
Incorporated
Jan 8, 2021 in OH
Enrollment address
5040 Philadelphia Dr
Dayton, OH 45415-3604
Nursing home name
AVENTURA AT CARRIAGE INN
Affiliated entity
AVENTURA HEALTH GROUP

Care Compare: Nursing home

Medicare Care Compare
Listed as
Aventura at Carriage InnCCN 365876 · All quality measures
Overall star rating
3 of 5
Health inspections
2 of 5
Staffing
2 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Sep 1, 1992
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
8570.7 residents per day on average
Chain
Aventura Health Group11 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
Aventura at Carriage Inn2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1105 E County Line Rd
Ste 207
Lakewood, NJ 08701

5040 Philadelphia Dr
Dayton, OH 45415
Phone (937) 278-0404

Ownership & related parties

All disclosed owners & managing parties 2

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

NameRoleSinceShare
Mordechai Scharf Individual 5% Or Greater Direct Ownership Interest Dec 1, 2021 50%
Corporate OfficerManager Dec 1, 2021 100%
Moishe Kaszirer Individual 5% Or Greater Direct Ownership Interest Dec 1, 2021 50%
Corporate OfficerCoo/Manager Dec 1, 2021 100%
Operational/Managerial ControlCoo/Manager Dec 1, 2021

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1634688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698710400000",
    "number": "1871256487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1105 E COUNTY LINE RD STE 206",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087012122",
            "telephone_number": "610-686-3300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5040 PHILADELPHIA DR",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454153604",
            "telephone_number": "937-278-0404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVENTURA AT CARRIAGE INN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-20",
        "last_updated": "2023-10-31",
        "certification_date": "2023-10-31",
        "status": "A",
        "authorized_official_last_name": "KASZIRER",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "610-686-3300"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AVENTURA AT CARRIAGE INN",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "AVENTURA AT CARRIAGE INN",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dayton, OH

Sources for this page

Verify at the official NPI Registry.