Organization Active NPI

Casa Arena Healthcare LLC

  • Skilled Nursing Facility
  • Alamogordo, NM
National Provider Identifier
1104530039
Registry record updated Jan 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
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, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2023

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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
LLCProprietary
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 LLCCCN 325043 · All quality measures
Overall star rating
1 of 5
Health inspections
1 of 5
Staffing
1 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Sep 4, 1985
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
11796.0 residents per day on average
Chain
Opco Skilled Management66 facilities in the chain
Penalties (3 years)
2Fines totaling $124,375

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
32D0667833Casa Arena Healthcare205 Moonglow St, Alamogordo, NM 88310Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Ownership & 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.

NameRoleSinceShare
Continuum Rehab Group LLC Organization, Los Angeles, CA LLC Adp of the SNF Mar 1, 2023
Hansen Hunter LLC Organization, Portland, OR LLC Adp of the SNF Apr 1, 2024
Wilshire Health Realty, LLC Organization, Los Angeles, CA LLC Adp of the SNF Mar 1, 2023
Opco NM Skilled MGMT, LLC Organization, Los Angeles, CA LLC Adp of the SNF Mar 1, 2023
Opco Ca Skilled MGMT Inc. Organization, Los Angeles, CA Corporation Adp of the SNF Mar 1, 2023
Hallmark Advisors, LLC Organization, Los Angeles, CA LLC Adp of the SNF Mar 1, 2023
Lisa Stolarczyk Individual Adp of the SNF Dec 1, 2023
Caliber Advisors LLC Organization, Los Angeles, CA LLC, Owned by another organization or individual Indirect Ownership Interest Mar 1, 2023 97%
Leah Y Kight Individual Adp of the SNF Jun 3, 2024
Casa Healthcare, LLC Organization, Los Angeles, CA LLC Operational/Managerial Control Mar 1, 2023
Direct Ownership Interest Mar 1, 2023 100%
The Wright Group Consulting, LLC Organization, Roanoke, VA LLC Adp of the SNF Apr 1, 2024
Regis Trust Organization, Los Angeles, CA Adp of the SNF Mar 1, 2023
Gibraltar Trust Organization, Los Angeles, CA Adp of the SNF Mar 1, 2023
David Garetz Individual Corporate OfficerCfo Apr 28, 2023
Operational/Managerial Control Apr 28, 2023
205 Moonglow Ave NM, LLC Organization, Los Angeles, CA 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.

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.

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

Verify at the official NPI Registry.