Active NPI
Diamond Care Santa Fe LLC
- Skilled Nursing Facility
- Santa Fe, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- DIAMOND CARE SANTA FE LLC
- Practice address
- 635 Harkle Road
Santa Fe, NM 87505 - Phone
- (505) 982-2574
- Fax
- (505) 988-1942
- NPI assigned
- Oct 4, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Matthew Meyer
- Title
- Owner Operator
- Phone
- (480) 652-5628
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
635 Harkle Road
Santa Fe, NM 87505
Mailing address
807 W. Longhorn Rd.
Payson, AZ 85541
Phone (928) 978-0520
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 22757279 | Medicaid | NM |
Other names 1
- Diamond Care Santa Fe Care Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20181128001100 | NM | Part A Provider - Skilled Nursing Facility | 4789928052 | Practice locations: Santa Fe, NM |
Skilled nursing facility certification: CCN 325030
- Legal name
- DIAMOND CARE SANTA FE LLC
- Doing business as
- SANTA FE CARE CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Sep 4, 1980
- Last certification
- Jul 11, 2024
- Beds
- 120
- Ownership / control type
- Corporation
- Organization structure
- LLC
- Enrollment address
- 635 Harkle Road
Santa Fe, NM 87505-4751 - Nursing home name
- SANTA FE CARE CENTER
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Santa Fe Care Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Sep 4, 1980
- Medicare certification status
- Active
- Certified beds
- 120
- Penalties (3 years)
- 2
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 32D0535298 | Diamond Care Santa Fe LLC | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 5
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Joseph a Martin | 5% Or Greater Direct Ownership Interest | Jun 18, 2018 | 25% |
| Matley 828 Endeavors LLC | 5% Or Greater Direct Ownership Interest | Jun 18, 2018 | 25% |
| Compassion Care Management Services Inc | 5% Or Greater Direct Ownership Interest | Jun 18, 2018 | 25% |
| Kerlab Health Care Management LLC | 5% Or Greater Direct Ownership Interest | Jun 18, 2018 | 25% |
| Matthew K Meyer | 5% Or Greater Direct Ownership Interest | Jun 18, 2018 | 25% |
| Corporate Director | Dec 1, 2018 | 25% | |
| Operational/Managerial Control | Jun 18, 2018 | 25% |
Facilities with the same owner 1
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- Skilled Nursing Facility
- Casa Grande, AZ
- NPI 1063749836
Compassion Care Management Services Inc
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Holloman Afb, NM
- NPI 1649512807
-
- Hospice and Palliative Medicine (Family Medicine) Physician
- Durango, CO
- NPI 1003896408
-
- Geriatric Medicine (Internal Medicine) Physician
- Golden, CO
- NPI 1215939541
Affiliated clinicians 1
Clinicians who list this facility as an affiliation in Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1538611200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1543795200000",
"number": "1093280281",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "807 W. LONGHORN RD.",
"city": "PAYSON",
"state": "AZ",
"postal_code": "85541",
"telephone_number": "928-978-0520",
"fax_number": "928-474-0505"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "635 HARKLE ROAD",
"city": "SANTA FE",
"state": "NM",
"postal_code": "87505",
"telephone_number": "505-982-2574",
"fax_number": "505-988-1942"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DIAMOND CARE SANTA FE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-10-04",
"last_updated": "2018-12-03",
"status": "A",
"authorized_official_last_name": "MEYER",
"authorized_official_first_name": "MATTHEW",
"authorized_official_title_or_position": "OWNER OPERATOR",
"authorized_official_telephone_number": "480-652-5628",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "22757279",
"state": "NM"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Diamond Care Santa Fe Care Center",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Santa Fe, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2018; 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.