Las Cruces Village Nursing & Rehabilitation LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

LAS CRUCES VILLAGE NURSING & REHABILITATION LLC

Practice address

3025 Terrace Dr
Las Cruces, NM 88011-5053

Phone

(575) 522-1362

Fax

(575) 522-4662

NPI assigned

Sep 9, 2024

Last updated

Sep 9, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

David Garetz

Title

Cfo

Phone

(323) 987-5954

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NM

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1023844966. Details of each certification follow.

• CCN 325067 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 325067

Legal name

LAS CRUCES VILLAGE NURSING & REHABILITATION LLC

Doing business as

LAS CRUCES VILLAGE NURSING & REHABILITATION

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Apr 1, 1992

Last certification

Mar 12, 2024

Beds

94

Ownership / control type

Limited Liability Corporation

Multi-facility organization

OPCO SKILLED MANAGEMENT

Organization structure

LLCProprietary

Enrollment address

3025 Terrace Dr
Las Cruces, NM 88011-5053

Nursing home name

LAS CRUCES VILLAGE NURSING & REHABILITATION LLC

Affiliated entity

OPCO SKILLED MANAGEMENT

Listed as

Las Cruces Village Nursing & Rehabilitation LLCCCN 325067 · All quality measures

Overall star rating

1 of 5

Health inspections

1 of 5

Staffing

2 of 5

Quality measures

4 of 5

Type

Medicare and Medicaid

Ownership

For profit - Limited Liability company

Certified

Apr 1, 1992

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

9487.5 residents per day on average

Chain

Opco Skilled Management66 facilities in the chain

Abuse citation

Cited for abuse (Care Compare abuse icon)

Processed by Care Compare on Aug 1, 2026.

Locations

All disclosed owners & managing parties 15

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

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Lisa Marie Stolarczyk, M.D.

  • Family Medicine Physician
  • Albuquerque, NM
  • NPI 1497930176

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

Facilities with the same owner 3

Facilities that share an organizational owner with 5% or greater ownership or operational control.

• Betty Dare Wellness & Rehabilitation LLC

  • Skilled Nursing Facility
  • Alamogordo, NM
  • NPI 1740016682

  Periwinkle NM Trust

  CMS ownership
• Grants Wellness & Rehabilitation LLC

  • Skilled Nursing Facility
  • Grants, NM
  • NPI 1568298404

  Periwinkle NM Trust

  CMS ownership
• Socorro Wellness & Rehabilitation LLC

  • Skilled Nursing Facility
  • Socorro, NM
  • NPI 1467288308

  Periwinkle NM Trust

  CMS ownership

Practitioners 3

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.

• Steven L Acosta, M.D.

  • Emergency Medicine Physician
  • Las Cruces, NM
  • NPI 1861531865
  NPD (past)
• Kristy R. Ontiveros, MD

  • Emergency Medicine Physician
  • Belen, NM
  • NPI 1356473144
  NPD (past)
• Lisa Marie Stolarczyk, M.D.

  • Family Medicine Physician
  • Albuquerque, NM
  • NPI 1497930176
  NPD (past)

Affiliated clinicians 5

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

• Steven L Acosta, M.D.

  • Emergency Medicine Physician
  • Las Cruces, NM
  • NPI 1861531865

  Nursing home

  Care Compare affiliation
• Ugonna E Ezeh, D.O.

  • Adult Reconstructive Orthopaedic Surgery Physician
  • Las Cruces, NM
  • NPI 1629423223

  Nursing home

  Care Compare affiliation
• Ann S Mercer, M.D.

  • Internal Medicine Physician
  • Las Cruces, NM
  • NPI 1811913502

  Nursing home

  Care Compare affiliation
• Miguel Ponce, CNP

  • Surgical Physician Assistant
  • Las Cruces, NM
  • NPI 1750428819

  Nursing home

  Care Compare affiliation
• Silvia M Sierra Flores, MD

  • Internal Medicine Physician
  • Las Cruces, NM
  • NPI 1134112410

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1725840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725840000000",
    "number": "1023844966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3025 TERRACE DR",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880115053",
            "telephone_number": "575-522-1362",
            "fax_number": "575-522-4662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3025 TERRACE DR",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880115053",
            "telephone_number": "575-522-1362",
            "fax_number": "575-522-4662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAS CRUCES VILLAGE NURSING & REHABILITATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-09",
        "last_updated": "2024-09-09",
        "certification_date": "2024-09-09",
        "status": "A",
        "authorized_official_last_name": "GARETZ",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "323-987-5954"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Las Cruces Surgeons Group, LLC
• Las Cruces Surgery Center - Telshor LLC
• Las Cruces Surgery Center LP (MountainView Surgery Center)
• Las Cruces Surgical Associates PA
• Las Cruces Village Assisted Living LLC
• Las Cruces Wellness & Rehabilitation LLC (Las Cruces Wellness & Rehabilitation)
• Samantha N Lasher
• Joseph Lasky
• Amaya Lasley
• Katherine Latham

• Skilled Nursing Facility in Las Cruces, NM
• Providers in Las Cruces, NM by specialty
• Skilled Nursing Facility in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.