Gallup Nursing & Rehabilitation LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

GALLUP NURSING & REHABILITATION LLC

Doing business as

Gallup Nursing & Rehabilitation

Practice address

306 E Nizhoni Blvd
Gallup, NM 87301-5794

Phone

(505) 863-9551

Fax

(505) 863-1917

NPI assigned

Jun 9, 2023

Organization subpart

No

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

Addresses

Other names 1

• Gallup Nursing & Rehabilitation Doing business as

Medicare fee-for-service enrollment

Enrolled in NM

Enrollment records 1

Skilled nursing facility certification: CCN 325118

Legal name

GALLUP NURSING & REHABILITATION LLC

Doing business as

GALLUP NURSING & REHABILITATION

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Jul 11, 2008

Last certification

Oct 10, 2024

Beds

62

Ownership / control type

Limited Liability Corporation

Multi-facility organization

OPCO

Organization structure

LLCProprietary

Enrollment address

306 E Nizhoni Blvd
Gallup, NM 87301-5794

Nursing home name

GALLUP NURSING & REHABILITATION LLC

Affiliated entity

OPCO SKILLED MANAGEMENT

Listed as

Gallup Nursing & Rehabilitation LLCCCN 325118 · All quality measures

Overall star rating

5 of 5

Health inspections

5 of 5

Staffing

3 of 5

Quality measures

5 of 5

Type

Medicare and Medicaid

Ownership

For profit - Limited Liability company

Certified

Jul 11, 2008

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

6258.7 residents per day on average

Chain

Opco Skilled Management66 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

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

CLIA laboratory certificates

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.

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• David M Greenberg

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Durango, CO
  • NPI 1003896408

  Adp of the SNF

  CMS ownership

Practitioners 2

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

• Carla J Sand, M.D

  • Family Medicine Physician
  • Crownpoint, NM
  • NPI 1639183122
  NPD (past)
• David M Greenberg

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Durango, CO
  • NPI 1003896408
  NPD (past)

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Carla J Sand, M.D

  • Family Medicine Physician
  • Crownpoint, NM
  • NPI 1639183122

  Nursing home

  Care Compare affiliation
• David M Greenberg

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Durango, CO
  • NPI 1003896408

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1686268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686268800000",
    "number": "1306520432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 E NIZHONI BLVD",
            "city": "GALLUP",
            "state": "NM",
            "postal_code": "873015794",
            "telephone_number": "505-863-9551",
            "fax_number": "505-863-1917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 E NIZHONI BLVD",
            "city": "GALLUP",
            "state": "NM",
            "postal_code": "873015794",
            "telephone_number": "505-863-9551",
            "fax_number": "505-863-1917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GALLUP NURSING & REHABILITATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-09",
        "last_updated": "2023-06-09",
        "certification_date": "2023-06-09",
        "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": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gallup Nursing & Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gallup Indian Medical Center
• Gallup Limb and Brace Co Inc
• Gallup McKinley County Schools
• Gallup McKinley County Schools
• Gallup Med Flight, LLC (Gallup Med Flight)
• Gallup Outpatient Treatment Center
• Gallup Quick Clinic PC
• Marci C Gambarota, MD
• Lauren Alexis Gamble, MS, CCC-SLP, CLC
• Ashley Dawn Gaona, RN

• Skilled Nursing Facility in Gallup, NM
• Providers in Gallup, NM by specialty
• Skilled Nursing Facility in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2023; 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.

Verify at the official NPI Registry.