Peak Medical Las Cruces No. 2, LLC
Organization Active NPI Skilled Nursing Facility · Las Cruces, NM
NPI 1295780146 · NPPES record last updated Feb 3, 2017
Key facts
- NPI
- 1295780146
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- License
- 1031 (NM)
- Legal business name
- PEAK MEDICAL LAS CRUCES NO. 2, LLC
- Practice address
- 1005 Lujan Hill Rd
Las Cruces, NM 88007-6304 - Phone
- (575) 523-4573
- NPI assigned
- May 22, 2006
- Organization subpart
- Yes
- Parent organization (as reported)
- PEAK MEDICAL, LLC
Authorized official
- Name
- Michael Berg
- Title
- Assistant Secretary
- Phone
- (505) 468-4752
Owners & managing parties with NPI records 8
-
Geetanjali Dodson, D.O.
Member of 1
Facilities with the same owner 176
Practitioners 2
-
Geetanjali Dodson, D.O.
Medicare Care Compare: Nursing home
- Listed as
- Casa De Oro Center
- Overall star rating
- ★☆☆☆☆ 1 of 5
- Health inspections
- ★☆☆☆☆ 1 of 5
- Staffing
- ★★★★☆ 4 of 5
- Quality measures
- ★★☆☆☆ 2 of 5
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- May 18, 1988
- Medicare certification status
- Active
- Certified beds
- 158 · 129.4 residents per day on average
- Chain
- Genesis Healthcare
- Special focus status
- SFF Candidate
- Penalties (3 years)
- 5 · fines totaling $68,554
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NM
Skilled nursing facility certification: CCN 325047
- Legal name
- PEAK MEDICAL LAS CRUCES NO 2 LLC
- Doing business as
- CASA DE ORO CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- May 18, 1988
- Last certification
- Oct 28, 2024
- Beds
- 158
- Ownership / control type
- Corporation
- Multi-facility organization
- GENESIS
- Organization structure
- LLC · Proprietary
- Incorporated
- Feb 2, 2015 in DE
- Enrollment address
- 1005 Lujan Hill Rd
Las Cruces, NM 88007-6304 - Nursing home name
- CASA DE ORO CENTER
- Affiliated entity
- GENESIS HEALTHCARE
All disclosed owners & managing parties 23
| Name | Role | Since | Share |
|---|---|---|---|
| Laura Bridgeford |
Corporate Officer |
Jun 1, 2024 | |
| Mary Snyder |
Operational/Managerial Control | Apr 1, 2024 | |
| Adp of the SNF | Apr 1, 2024 | ||
| HCCF Management Group XI LLC |
5% Or Greater Indirect Ownership Interest | Feb 2, 2015 | 10.8% |
| Gen Operations I LLC |
5% Or Greater Indirect Ownership Interest | Dec 1, 2012 | 100% |
| |
Adp of the SNF | Apr 1, 2022 | |
| Gen Operations II LLC |
5% Or Greater Indirect Ownership Interest | Dec 1, 2012 | 100% |
| |
Adp of the SNF | Mar 20, 2025 | |
| FC-Gen Operations Investment LLC |
5% Or Greater Indirect Ownership Interest | Dec 1, 2012 | 100% |
| Geetanjali Malhotra Dodson |
Operational/Managerial Control | Feb 23, 2022 | |
| Adp of the SNF | Feb 23, 2022 | ||
| |
Adp of the SNF | Mar 20, 2025 | |
| Sundance Rehabilitation Holdco Inc |
5% Or Greater Indirect Ownership Interest | Jan 1, 2016 | 5.81% |
| Genesis Healthcare LLC |
5% Or Greater Indirect Ownership Interest | Feb 2, 2015 | 100% |
| Sun Healthcare Group Inc |
5% Or Greater Indirect Ownership Interest | Feb 2, 2015 | 100% |
| Welltower Op, LLC |
5% Or Greater Indirect Ownership Interest | Jun 1, 2024 | 5.7% |
| Arnold M Whitman |
5% Or Greater Indirect Ownership Interest | Feb 2, 2015 | 10.8% |
| Peak Medical LLC |
5% Or Greater Direct Ownership Interest | Feb 2, 2015 | 100% |
| Adp of the SNF | Mar 20, 2025 | ||
| Genesis Healthcare Inc |
5% Or Greater Indirect Ownership Interest | Feb 2, 2015 | 100% |
| Zac Properties XI LLC |
5% Or Greater Indirect Ownership Interest | Feb 2, 2015 | 8.46% |
| Steven E Fishman |
5% Or Greater Indirect Ownership Interest | Feb 2, 2015 | 7.6% |
| Avi Pinchas Mendelson |
Corporate Officer |
Jun 1, 2024 | |
| Michael T Berg |
Corporate Officer |
Mar 2, 2015 | |
| Sunbridge Healthcare LLC |
5% Or Greater Indirect Ownership Interest | Apr 20, 2007 | 100% |
| Genesis Holdings LLC |
5% Or Greater Indirect Ownership Interest | Feb 2, 2015 | 100% |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20030828000000 | NM | Part a Provider - Skilled Nursing Facility | 4587575980 | Practice locations: Las Cruces, NM |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Alzheimer Center (Dementia Center) | 311500000X | 1031 | NM | |
| Skilled Nursing Facility | 314000000X | 1031 | NM | Yes |
Addresses
Primary practice location
1005 Lujan Hill Rd
Las Cruces, NM 88007-6304
Mailing address
1005 Lujan Hill Rd
Las Cruces, NM 88007-6304
Phone (575) 523-4573
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00NM01M532 | Other | NM | BC/BS OF NM |
| PROVA41094 | Other | NM | MOLINA SALUD |
| 17214 | Other | NM | PRES SALUD |
| 10003570 | Other | NM | LOVELACE SALUD |
| 0586122 | Other | NM | CIGNA |
| 59602295 | Medicaid | NM |
Other names
- Casa De Oro Center
Other providers in Las Cruces, NM
- Thomas A Paz
- Vanessa Rose Paz
- Barry David Peace
- Stephanie Margaret Peace
- Peak Medical Assisted Living, LLC
- Peak Medical Las Cruces, LLC
- Emily Ruth Pearlstein
- Andrew Stephen Pearson
- Carlos Peay
- Katherine Peck Louise Peck
All providers in Las Cruces, NM · Skilled Nursing Facility in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 3, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.