803 HACIENDA LANE OPERATIONS LLC (NPI# 1134607690) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134607690 |
| Entity Type | Organization |
| Organization Name | 803 HACIENDA LANE OPERATIONS LLC |
| Other Organization Name | BLOOMFIELD NURSING AND REHAB |
| Practice Address |
803 Hacienda Ln Bloomfield NM 87413-5109 |
| Mailing Address |
101 E State St Kennett Square PA 19348-3109 |
| Practice Telephone | 6109252254 |
| Mailing Telephone | 6109252254 |
| Enumeration Date | 2018-08-06 |
| Last Update Date | 2018-08-06 |
| Authorized Official Name | MICHAEL BERG (ASSISTANT SECRETARY) |
| Authorized Official Telephone | 6109252254 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | NM | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Bloomfield Nursing and Rehab | Doing Business As Name - Organization |
| Street Address |
803 HACIENDA LN |
| City | BLOOMFIELD |
| State | NM |
| Zip Code | 87413-5109 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457306730 | Silverstone Healthcare of Bloomfield, LLC | Skilled Nursing Facility | 803 Hacienda Ln, Bloomfield, NM 87413-5109 | 2006-05-24 |
| 1790243830 | Judy Linn Edwards | Licensed Practical Nurse | 803 Hacienda Ln, Bloomfield, NM 87413-5109 | 2019-03-07 |
| 1952891095 | Krista Buschbacher | Occupational Therapist | 803 Hacienda Ln, Bloomfield, NM 87413-5109 | 2018-05-15 |
| 1861743775 | Bloomfield Health Facilities Lp | Skilled Nursing Facility | 803 Hacienda Ln, Bloomfield, NM 87413-5109 | 2012-10-02 |
| 1669787776 | Angie Kiger-legrand | Physical Therapy Assistant | 803 Hacienda Ln, Bloomfield, NM 87413-5109 | 2010-08-12 |
| 1598964223 | Bloomfield Nursing Operations LLC | Skilled Nursing Facility | 803 Hacienda Ln, Bloomfield, NM 87413-5109 | 2007-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891396057 | Heather Smith | Behavior Technician | 25a Cr 5060, Bloomfield, NM 87413 | 2020-11-04 |
| 1104292325 | Michelle Childers-beck | Social Worker | 235 N Bergin Lane, Bloomfield, NM 87413 | 2015-08-12 |
| 1427364090 | Marichu Lazo | Occupational Therapy Assistant | 803 Hacienda Lane, Bloomfield, NM 87413 | 2010-08-20 |
| 1023344181 | Sundance Dental Care of Bloomfield, LLC. | Dentist | 100 South First Street, Bloomfield, NM 87413 | 2009-10-26 |
| 1972838266 | Chris Dwight Richardson | Physical Therapy Assistant | #6 Cty Rd 5149, Bloomfield, NM 87413 | 2009-10-05 |
| 1710025028 | Roy Hernandez | Speech-Language Pathologist | 325 North Bergin Lane, Bloomfield, NM 87413 | 2007-02-01 |
| 1760427587 | Dhhs, Phs, Naihs, Shiprock Hospital | Clinic/Center | 6 Road 7586, Bloomfield, NM 87413 | 2006-06-17 |
| 1568500833 | Connie Hernandez | Speech-Language Pathologist | 325 North Bergin Lane, Bloomfield, NM 87413-2430 | 2007-02-01 |
| 1841453636 | James Bellah | Family Medicine | 6 County Road 7586, Bloomfield, NM 87413-4934 | 2008-07-02 |
| 1598751778 | David Lynn Doss | Optometrist | 6 Road 7586, Bloomfield, NM 87413-4934 | 2005-09-23 |
| Find all providers in zip 87413 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285851998 | Duncaster Incorporated | Skilled Nursing Facility | 10 Loeffler Rd, Bloomfield, CT 06002-2256 | 2007-04-20 |
| 1649338567 | Bloomfield Health Care Center of Connecticut LLC | Skilled Nursing Facility | 355 Park Ave, Bloomfield, CT 06002-3105 | 2006-12-04 |
| 1457306730 | Silverstone Healthcare of Bloomfield, LLC | Skilled Nursing Facility | 803 Hacienda Ln, Bloomfield, NM 87413-5109 | 2006-05-24 |
| 1437102068 | Davis County Hospital | Skilled Nursing Facility | 509 N Madison St, Bloomfield, IA 52537-1271 | 2006-05-17 |
| 1477504934 | Ggnsc Bloomfield LLC | Skilled Nursing Facility | 606 W Missouri St, Bloomfield, MO 63825-9706 | 2006-05-12 |
| 1114991437 | Job Haines Home for Aged People | Skilled Nursing Facility | 250 Bloomfield Ave, Bloomfield, NJ 07003-5689 | 2006-02-14 |
| 1073594511 | Cpl Park Manor LLC | Skilled Nursing Facility | 23 Park Place, Bloomfield, NJ 07003-3513 | 2005-11-10 |
| 1174525760 | Abcm Corporation | Skilled Nursing Facility | 800 N Davis St, Bloomfield, IA 52537-1107 | 2005-08-12 |
| 1174526099 | Health Care Investors, Inc. D/b/a/ Alexandria Manor | Skilled Nursing Facility | 55 Tunxis Ave, Bloomfield, CT 06002-2005 | 2005-05-24 |
| 1477008779 | N & R of Bloomfield LLC | Skilled Nursing Facility | 606 W Missouri St, Bloomfield, MO 63825-9706 | 2016-08-17 |
| Find all providers in BLOOMFIELD | ||||
| City | BLOOMFIELD |
| Zip Code | 87413 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.