Provider Demographics
NPI:1235902347
Name:AVENTURA AT SHILOH SPRINGS LLC
Entity Type:Organization
Organization Name:AVENTURA AT SHILOH SPRINGS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:
Authorized Official - First Name:MOISHE
Authorized Official - Middle Name:
Authorized Official - Last Name:KASZIRER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-686-3300
Mailing Address - Street 1:3500 SHILOH SPRINGS RD
Mailing Address - Street 2:
Mailing Address - City:TROTWOOD
Mailing Address - State:OH
Mailing Address - Zip Code:45426-2260
Mailing Address - Country:US
Mailing Address - Phone:937-854-1180
Mailing Address - Fax:
Practice Address - Street 1:3500 SHILOH SPRINGS RD
Practice Address - Street 2:
Practice Address - City:TROTWOOD
Practice Address - State:OH
Practice Address - Zip Code:45426-2260
Practice Address - Country:US
Practice Address - Phone:937-854-1180
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-31
Last Update Date:2023-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)