3720 Church Rock Street Operations LLC
Organization Active NPI Skilled Nursing Facility · Gallup, NM
NPI 1356820419 · NPPES record last updated Aug 9, 2018
Key facts
- NPI
- 1356820419
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- Legal business name
- 3720 CHURCH ROCK STREET OPERATIONS LLC
- Practice address
- 3720 Church Rock St
Gallup, NM 87301-4572 - Phone
- (505) 722-2261
- NPI assigned
- Aug 9, 2018
- Organization subpart
- No
Authorized official
- Name
- Michael Berg
- Title
- Assistant Secretary
- Phone
- (505) 468-4742
Owners & managing parties with NPI records 1
Facilities with the same owner 178
Practitioners 2
-
Carla J Sand, M.D
Affiliated clinicians 4
-
Carey Michael Reed, APN
-
Carla J Sand, M.D
-
Rebecca Ann Price, LCSW
Medicare Care Compare: Nursing home
- Listed as
- Red Rocks Care Center
- Overall star rating
- ★★★★☆ 4 of 5
- Health inspections
- ★★★★☆ 4 of 5
- Staffing
- ★★☆☆☆ 2 of 5
- Quality measures
- ★★★★☆ 4 of 5
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Mar 1, 1992
- Certified beds
- 102 · 84.4 residents per day on average
- Chain
- Genesis Healthcare
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NM
Skilled nursing facility certification: CCN 325070
- Legal name
- 3720 CHURCH ROCK STREET OPERATIONS LLC
- Doing business as
- RED ROCKS CARE CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Mar 1, 1992
- Last certification
- Jul 25, 2024
- Beds
- 102
- Ownership / control type
- Limited Liability Corporation
- Multi-facility organization
- Genesis Healthcare
- Organization structure
- LLC · Proprietary
- Incorporated
- Jul 19, 2018 in NM
- Enrollment address
- 3720 Church Rock St
Gallup, NM 87301-4572 - Nursing home name
- RED ROCKS CARE CENTER
- Affiliated entity
- GENESIS HEALTHCARE
All disclosed owners & managing parties 23
| Name | Role | Since | Share |
|---|---|---|---|
| Genesis Omg Operations LLC |
5% Or Greater Direct Ownership Interest | Nov 1, 2018 | 100% |
| Laura Bridgeford |
Corporate Officer |
Jun 1, 2024 | |
| HCCF Management Group XI LLC |
5% Or Greater Indirect Ownership Interest | Nov 1, 2018 | 21% |
| Gen Operations I LLC |
5% Or Greater Indirect Ownership Interest | Nov 1, 2018 | 100% |
| |
Adp of the SNF | Feb 1, 2025 | |
| Gandhi Anyanhun |
Operational/Managerial Control | Jun 1, 2024 | |
| Adp of the SNF | Feb 1, 2025 | ||
| Gen Operations II LLC |
5% Or Greater Indirect Ownership Interest | Nov 1, 2018 | 100% |
| Diane Louise Morris |
Operational/Managerial Control | Apr 1, 2024 | |
| FC-Gen Operations Investment LLC |
5% Or Greater Indirect Ownership Interest | Nov 1, 2018 | 100% |
| Sundance Rehabilitation Holdco Inc |
5% Or Greater Indirect Ownership Interest | Nov 1, 2018 | 100% |
| |
Adp of the SNF | Feb 1, 2025 | |
| Genesis Healthcare LLC |
5% Or Greater Indirect Ownership Interest | Nov 1, 2018 | 100% |
| Sun Healthcare Group Inc |
5% Or Greater Indirect Ownership Interest | Nov 1, 2018 | 100% |
| Welltower Op, LLC |
5% Or Greater Indirect Ownership Interest | Jun 1, 2024 | 5.7% |
| Arnold M Whitman |
5% Or Greater Indirect Ownership Interest |
Mar 1, 2015 | 9.6% |
| Genesis Healthcare Inc |
5% Or Greater Indirect Ownership Interest | Nov 1, 2018 | 100% |
| Zac Properties XI LLC |
5% Or Greater Indirect Ownership Interest | Nov 1, 2018 | 12% |
| Steven E Fishman |
5% Or Greater Indirect Ownership Interest |
Mar 1, 2015 | 7.6% |
| Avi Pinchas Mendelson |
Corporate Officer |
Jun 1, 2024 | |
| Michael T Berg |
Corporate Officer |
Nov 1, 2018 | |
| David Michael Greenberg |
Operational/Managerial Control | Jun 1, 2024 | |
| Adp of the SNF | Feb 1, 2025 | ||
| GHC Holdings LLC |
5% Or Greater Indirect Ownership Interest | Nov 1, 2018 | 100% |
| Genesis Holdings LLC |
5% Or Greater Indirect Ownership Interest | Nov 1, 2018 | 100% |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20181018002185 | NM | Part a Provider - Skilled Nursing Facility | 4789937889 | Practice locations: Gallup, NM |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Yes |
Addresses
Primary practice location
3720 Church Rock St
Gallup, NM 87301-4572
Mailing address
101 E State St
Kennett Square, PA 19348-3109
Phone (610) 925-2254
Other names
- Red Rocks Care Center
Other providers in Gallup, NM
- 1601 2ND Street Gallup Professional, LLC
- Aangels Arms Personal Care Service LLC
- Teresa Allman Aaron
- Sophia A Abdulhai
- Kateri L Abeita
- Merriam Lynn Abeita
All providers in Gallup, 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 Aug 9, 2018. 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.