Organization Active NPI

Mission Arch Operator LLC

  • Skilled Nursing Facility
  • Roswell, NM
National Provider Identifier
1245128586
Registry record updated Jul 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
MISSION ARCH OPERATOR LLC
Practice address
3200 Mission Arch Dr
Roswell, NM 88201-8307
Phone
(575) 624-2583
NPI assigned
Jun 25, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2025

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

Authorized official

Name
Ahron Katz
Title
Manager
Phone
(720) 696-5431

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

3200 Mission Arch Dr
Roswell, NM 88201-8307

Mailing address

950 S Cherry St Ste 716
Denver, CO 80246-2665
Phone (720) 696-5431

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
32D2334187Mission Arch Operator LLC3200 N Mission Arch Dr, Roswell, NM 88201Certificate of waiverNov 16, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1750809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751846400000",
    "number": "1245128586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 S CHERRY ST STE 716",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802462665",
            "telephone_number": "720-696-5431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 MISSION ARCH DR",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882018307",
            "telephone_number": "575-624-2583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSION ARCH OPERATOR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-25",
        "last_updated": "2025-07-07",
        "certification_date": "2025-07-07",
        "status": "A",
        "authorized_official_last_name": "KATZ",
        "authorized_official_first_name": "AHRON",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "720-696-5431"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roswell, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.