Healthcare Provider Details

I. General information

NPI: 1235065079
Provider Name (Legal Business Name): AVIRA CARE CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/19/2026
Last Update Date: 06/19/2026
Certification Date: 06/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6131 PARK RIDGE RD
LOVES PARK IL
61111-4029
US

IV. Provider business mailing address

1900 E GOLF RD STE 950
SCHAUMBURG IL
60173-5034
US

V. Phone/Fax

Practice location:
  • Phone: 815-633-6810
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: BERT HEINEMANN
Title or Position: MANAGER
Credential:
Phone: 815-633-6810