Active NPI
Casa Arena Healthcare LLC
- Skilled Nursing Facility
- Alamogordo, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- CASA ARENA HEALTHCARE LLC
- Practice address
- 205 Moonglow Ave
Alamogordo, NM 88310-3339 - Phone
- (575) 434-4510
- NPI assigned
- Jan 5, 2023
- Last updated
- Jan 5, 2023
- 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
- David Garetz
- Title
- Cfo
- Phone
- (323) 987-5954
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | NU | Primary |
Addresses
Primary practice location
205 Moonglow Ave
Alamogordo, NM 88310-3339
Mailing address
4525 Wilshire Blvd Ste 210
Los Angeles, CA 90010-3846
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230616001934 | NM | Part A Provider - Skilled Nursing Facility | 9335507763 | Practice locations: Alamogordo, NM |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1104530039. Details of each certification follow.
Skilled nursing facility certification: CCN 325043
- Legal name
- CASA ARENA HEALTHCARE LLC
- Doing business as
- CASA ARENA HEALTHCARE
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Sep 4, 1985
- Last certification
- Jun 5, 2025
- Beds
- 117
- Ownership / control type
- Corporation
- Multi-facility organization
- OPCO Healthcare
- Most recent change of ownership
- Apr 28, 2023
- Organization structure
- LLC
- Enrollment address
- 205 Moonglow Ave
Alamogordo, NM 88310-3339 - Nursing home name
- CASA ARENA HEALTHCARE LLC
- Affiliated entity
- OPCO SKILLED MANAGEMENT
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Casa Arena Healthcare LLC
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Sep 4, 1985
- Medicare certification status
- Active
- Certified beds
- 117
- Chain
- Opco Skilled Management
- 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 |
|---|---|---|---|
| 32D0667833 | Casa Arena Healthcare | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider DirectoryOwnership & related parties
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Continuum Rehab Group LLC | Adp of the SNF | Mar 1, 2023 | |
| Hansen Hunter LLC | Adp of the SNF | Apr 1, 2024 | |
| Wilshire Health Realty, LLC | Adp of the SNF | Mar 1, 2023 | |
| Opco NM Skilled MGMT, LLC | Adp of the SNF | Mar 1, 2023 | |
| Opco Ca Skilled MGMT Inc. | Adp of the SNF | Mar 1, 2023 | |
| Hallmark Advisors, LLC | Adp of the SNF | Mar 1, 2023 | |
| Lisa Stolarczyk | Adp of the SNF | Dec 1, 2023 | |
| Caliber Advisors LLC | Indirect Ownership Interest | Mar 1, 2023 | 97% |
| Leah Y Kight | Adp of the SNF | Jun 3, 2024 | |
| Casa Healthcare, LLC | Operational/Managerial Control | Mar 1, 2023 | |
| Direct Ownership Interest | Mar 1, 2023 | 100% | |
| The Wright Group Consulting, LLC | Adp of the SNF | Apr 1, 2024 | |
| Regis Trust | Adp of the SNF | Mar 1, 2023 | |
| Gibraltar Trust | Adp of the SNF | Mar 1, 2023 | |
| David Garetz | Corporate Officer | Apr 28, 2023 | |
| Operational/Managerial Control | Apr 28, 2023 | ||
| 205 Moonglow Ave NM, LLC | Adp of the SNF | Mar 1, 2023 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
Facilities with the same owner 5
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
dba Coronado Care Center
- Skilled Nursing Facility
- Portales, NM
- NPI 1225754955
Casa Healthcare, LLC
-
- Skilled Nursing Facility
- Los Alamos, NM
- NPI 1528772621
Casa Healthcare, LLC
-
dba Paloma Springs Healthcare
- Skilled Nursing Facility
- Truth Or Consequences, NM
- NPI 1225742315
Casa Healthcare, LLC
-
- Skilled Nursing Facility
- Roswell, NM
- NPI 1598479420
Casa Healthcare, LLC
Practitioners & affiliated clinicians
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.
-
- Internal Medicine Physician
- Alamogordo, NM
- NPI 1184803843
-
- Emergency Medicine Physician
- Las Cruces, NM
- NPI 1861531865
-
- Family Medicine Physician
- Alamogordo, NM
- NPI 1538225610
Affiliated clinicians 2
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": "1672876800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1672876800000",
"number": "1104530039",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4525 WILSHIRE BLVD STE 210",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900103846"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 MOONGLOW AVE",
"city": "ALAMOGORDO",
"state": "NM",
"postal_code": "883103339",
"telephone_number": "575-434-4510"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CASA ARENA HEALTHCARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-01-05",
"last_updated": "2023-01-05",
"certification_date": "2023-01-05",
"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": []
}
Other providers in Alamogordo, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2023; 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.