Organization Active NPI

Taos Healthcare LLC

Doing business as Taos Healthcare

  • Skilled Nursing Facility
  • Taos, NM
National Provider Identifier
1306517362
Registry record updated Oct 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
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, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2021

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

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 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
LLCProprietary
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 HealthcareCCN 325105 · All quality measures
Overall star rating
4 of 5
Health inspections
3 of 5
Staffing
3 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Aug 5, 1996
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
10093.8 residents per day on average
Chain
Opco Skilled Management66 facilities in the chain

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
32D0917058Taos Healthcare1340 Maestas Road, Taos, NM 87571Certificate of waiverJul 8, 2028

National Provider Directory

National Provider Directory

Ownership & 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.

NameRoleSinceShare
Continuum Rehab Group LLC Organization, Los Angeles, CA LLC Adp of the SNF Dec 1, 2021
Hansen Hunter LLC Organization, Portland, OR LLC, Consulting firm Operational/Managerial Control Apr 1, 2024
Adp of the SNF Jul 3, 2025
Opco NM Skilled MGMT, LLC Organization, Los Angeles, CA LLC Adp of the SNF Dec 1, 2021
1340 Maestas Road NM, LLC Organization, Los Angeles, CA LLC Adp of the SNF Dec 1, 2021
Opco Ca Skilled MGMT Inc. Organization, Los Angeles, CA Corporation Adp of the SNF Dec 1, 2021
Sasem Investments LLC Organization, Los Angeles, CA LLC, Owned by another organization or individual Indirect Ownership Interest Dec 1, 2021 2.5%
New M Property Holdings, LLC Organization, Los Angeles, CA LLC Adp of the SNF Dec 1, 2021
Emerald Property Partners LLC Organization, Los Angeles, CA LLC Adp of the SNF Dec 1, 2021
Kenwood Trust Organization, Los Angeles, CA LLC Indirect Ownership Interest Dec 1, 2021 68.5%
Rimpau Holdings Trust Organization, Los Angeles, CA Indirect Ownership Interest Dec 1, 2021 21%
Lisa Stolarczyk Individual Adp of the SNF Mar 7, 2024
Jolene Greene Individual Adp of the SNF Nov 6, 2023
Arroyo Healthcare LLC Organization, Los Angeles, CA LLC Operational/Managerial Control Dec 1, 2021
Direct Ownership Interest Dec 1, 2021 100%
The Wright Group Consulting, LLC Organization, Roanoke, VA LLC Adp of the SNF Apr 1, 2024
Oxford Square LLC Organization, Los Angeles, CA LLC, Owned by another organization or individual Indirect Ownership Interest Dec 1, 2021 4%
Gibraltar Trust Organization, Los Angeles, CA Adp of the SNF Dec 1, 2021
David Garetz Individual Corporate OfficerCfo Dec 1, 2021
Operational/Managerial Control Dec 1, 2021
Wellington HC Partners LLC Organization, Los Angeles, CA LLC, Owned by another organization or individual 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.

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.

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

Sources for this page

Verify at the official NPI Registry.