Active NPI
Taos Healthcare LLC
Doing business as Taos Healthcare
- Skilled Nursing Facility
- Taos, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- TAOS HEALTHCARE LLC
- Doing business as
- Taos Healthcare
- Practice address
- 1340 Maestas Rd
Taos, NM 87571-6263 - Phone
- (575) 758-2300
- Fax
- (575) 758-3081
- NPI assigned
- Sep 21, 2021
- Last updated
- Oct 14, 2021
- 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
1340 Maestas Rd
Taos, NM 87571-6263
Mailing address
4525 Wilshire Blvd Ste 210
Los Angeles, CA 90010-3846
Phone (323) 987-5954
Other names 1
- Taos Healthcare
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20211221002643 | NM | Part A Provider - Skilled Nursing Facility | 5890186118 | Practice locations: Taos, NM |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1306517362. Details of each certification follow.
Skilled nursing facility certification: CCN 325105
- Legal name
- TAOS HEALTHCARE LLC
- Doing business as
- TAOS HEALTHCARE
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Aug 5, 1996
- Last certification
- Sep 26, 2024
- Beds
- 102
- Ownership / control type
- Corporation
- Multi-facility organization
- OPCO Skilled Management
- Organization structure
- LLC
- Enrollment address
- 1340 Maestas Rd
Taos, NM 87571-6263 - Nursing home name
- TAOS HEALTHCARE
- Affiliated entity
- OPCO SKILLED MANAGEMENT
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Taos Healthcare
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Aug 5, 1996
- Medicare certification status
- Active
- Certified beds
- 100
- Chain
- Opco Skilled Management
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 |
|---|---|---|---|
| 32D0917058 | Taos Healthcare | Certificate of waiver | Jul 8, 2028 |
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 18
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 | Dec 1, 2021 | |
| Hansen Hunter LLC | Operational/Managerial Control | Apr 1, 2024 | |
| Adp of the SNF | Jul 3, 2025 | ||
| Opco NM Skilled MGMT, LLC | Adp of the SNF | Dec 1, 2021 | |
| 1340 Maestas Road NM, LLC | Adp of the SNF | Dec 1, 2021 | |
| Opco Ca Skilled MGMT Inc. | Adp of the SNF | Dec 1, 2021 | |
| Sasem Investments LLC | Indirect Ownership Interest | Dec 1, 2021 | 2.5% |
| New M Property Holdings, LLC | Adp of the SNF | Dec 1, 2021 | |
| Emerald Property Partners LLC | Adp of the SNF | Dec 1, 2021 | |
| Kenwood Trust | Indirect Ownership Interest | Dec 1, 2021 | 68.5% |
| Rimpau Holdings Trust | Indirect Ownership Interest | Dec 1, 2021 | 21% |
| Lisa Stolarczyk | Adp of the SNF | Mar 7, 2024 | |
| Jolene Greene | Adp of the SNF | Nov 6, 2023 | |
| Arroyo Healthcare LLC | Operational/Managerial Control | Dec 1, 2021 | |
| Direct Ownership Interest | Dec 1, 2021 | 100% | |
| The Wright Group Consulting, LLC | Adp of the SNF | Apr 1, 2024 | |
| Oxford Square LLC | Indirect Ownership Interest | Dec 1, 2021 | 4% |
| Gibraltar Trust | Adp of the SNF | Dec 1, 2021 | |
| David Garetz | Corporate Officer | Dec 1, 2021 | |
| Operational/Managerial Control | Dec 1, 2021 | ||
| Wellington HC Partners LLC | Indirect Ownership Interest | Dec 1, 2021 | 4% |
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 6
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
dba Aztec Healthcare
- Skilled Nursing Facility
- Aztec, NM
- NPI 1003471541
Hansen Hunter LLC
-
dba Vancouver Specialty Rehabilitative Care
- Skilled Nursing Facility
- Vancouver, WA
- NPI 1811493364
Hansen Hunter LLC
-
dba West Side Campus of Care
- Skilled Nursing Facility
- White Settlement, TX
- NPI 1235528894
Hansen Hunter LLC
-
dba Arbor Lake Nursing & Rehabilitation
- Skilled Nursing Facility
- Fort Worth, TX
- NPI 1578157244
Hansen Hunter LLC
-
dba Granada Post Acute
- Skilled Nursing Facility
- Lynwood, CA
- NPI 1356877609
Hansen Hunter LLC
-
- Skilled Nursing Facility
- Fort Bragg, CA
- NPI 1871269522
Hansen Hunter LLC
Practitioners & affiliated clinicians
Practitioners 1
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
- Santa Fe, NM
- NPI 1770589475
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": "1632182400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1634169600000",
"number": "1306517362",
"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",
"telephone_number": "323-987-5954"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1340 MAESTAS RD",
"city": "TAOS",
"state": "NM",
"postal_code": "875716263",
"telephone_number": "575-758-2300",
"fax_number": "575-758-3081"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TAOS HEALTHCARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-09-21",
"last_updated": "2021-10-14",
"certification_date": "2021-10-14",
"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": [
{
"organization_name": "Taos Healthcare",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Taos, NM
- Taos Family Dentistry, Inc
- Taos Group Home, Inc.
- Taos Health Systems Inc Holy Cross
- Taos Health Systems Inc Holy Cross Hospital (Holy Cross Hospital)
- Taos Health Systems, Inc., Holy Cross Hospital
- Taos Home Dialysis, LLC
- Taos Homebirth & Midwifery LLC
- Taos International School
- Taos Living Center, LLC
- Taos Medical Billing
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2021; 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.