Quiburi Mission Nursing & Rehabilitation LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

QUIBURI MISSION NURSING & REHABILITATION LLC

Practice address

850 S Highway 80
Benson, AZ 85602-7034

Phone

(520) 586-2372

Fax

(520) 586-7003

NPI assigned

Sep 9, 2024

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 AZ

Enrollment records 1

Skilled nursing facility certification: CCN 035214

Legal name

QUIBURI MISSION NURSING & REHABILITATION LLC

Doing business as

QUIBURI MISSION NURSING & REHABILITATION

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Nov 20, 1992

Last certification

Mar 8, 2024

Beds

60

Ownership / control type

Limited Liability Corporation

Multi-facility organization

OPCO Skilled Management

Organization structure

LLCProprietary

Enrollment address

850 S Highway 80
Benson, AZ 85602-7034

Nursing home name

QUIBURI MISSION NURSING & REHABILITATION

Affiliated entity

OPCO SKILLED MANAGEMENT

Listed as

Quiburi Mission Nursing & RehabilitationCCN 035214

Overall star rating

3 of 5

Health inspections

2 of 5

Staffing

4 of 5

Quality measures

5 of 5

Type

Medicare and Medicaid

Ownership

For profit - Limited Liability company

Certified

Nov 20, 1992

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

6053.3 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.

All disclosed owners & managing parties 21

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.

• Monica R Vandivort, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • Sierra Vista, AZ
  • NPI 1720044365

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

Facilities with the same owner 2

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

• Prescott Valley Nursing & Rehabilitation LLC

  • Skilled Nursing Facility
  • Prescott Valley, AZ
  • NPI 1417783580

  Amethyst Az Trust, Az Healthcare LLC, Indigo Az Trust

  CMS ownership
• Prescott Village Nursing & Rehabilitation LLC

  • Skilled Nursing Facility
  • Prescott, AZ
  • NPI 1952137895

  Amethyst Az Trust, Az Healthcare LLC, Indigo Az Trust

  CMS ownership

Practitioners 2

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

• Mansoor Jatoi, DO

  • Internal Medicine Physician
  • Tucson, AZ
  • NPI 1922366772
  NPD (past)
• Monica R Vandivort, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • Sierra Vista, AZ
  • NPI 1720044365
  NPD (past)

Affiliated clinicians 2

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

• Mansoor Jatoi, DO

  • Internal Medicine Physician
  • Tucson, AZ
  • NPI 1922366772

  Nursing home

  Care Compare affiliation
• Monica R Vandivort, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • Sierra Vista, AZ
  • NPI 1720044365

  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": "1043046980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 S HIGHWAY 80",
            "city": "BENSON",
            "state": "AZ",
            "postal_code": "856027034",
            "telephone_number": "520-586-2372",
            "fax_number": "520-586-7003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 S HIGHWAY 80",
            "city": "BENSON",
            "state": "AZ",
            "postal_code": "856027034",
            "telephone_number": "520-586-2372",
            "fax_number": "520-586-7003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUIBURI MISSION 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": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kalpana R. Pandit, M.D.
• Billie R. Peterson, MSW, LCSW
• Pima Heart Physicians, PC
• Pima Heart Physicians, PC
• Progressive Healthcare Group Inc
• King Richard Randell, LPC, CADAC, ICADC
• Meena Rao, MD
• Joseph G Rizza, MD
• Glenn Gary Robertson, MD
• Pamela J Roller, RN

• Skilled Nursing Facility in Benson, AZ
• Providers in Benson, AZ by specialty
• Skilled Nursing Facility in Arizona

• 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.