Active NPI
Socorro Wellness & Rehabilitation LLC
- Skilled Nursing Facility
- Socorro, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- SOCORRO WELLNESS & REHABILITATION LLC
- Practice address
- 1203 Highway 60
Socorro, NM 87801-5816 - Phone
- (575) 835-2724
- Fax
- (575) 835-4378
- NPI assigned
- Sep 9, 2024
- 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 | Primary |
Addresses
Primary practice location
1203 Highway 60
Socorro, NM 87801-5816
Mailing address
1203 Highway 60
Socorro, NM 87801-5816
Phone (575) 835-2724
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250409002148 | NM | Part A Provider - Skilled Nursing Facility | 8022532225 | Practice locations: Socorro, NM |
Skilled nursing facility certification: CCN 325073
- Legal name
- SOCORRO WELLNESS & REHABILITATION LLC
- Doing business as
- SOCORRO WELLNESS & REHABILITATION
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Jul 1, 1992
- Last certification
- Aug 29, 2024
- Beds
- 66
- Ownership / control type
- Individual
- Multi-facility organization
- OPCO SKILLED MANAGEMENT
- Organization structure
- LLC
- Enrollment address
- 1203 Highway 60
Socorro, NM 87801-5816 - Nursing home name
- SOCORRO WELLNESS & REHABILITATION
- Affiliated entity
- OPCO SKILLED MANAGEMENT
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Socorro Wellness & Rehabilitation
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Individual
- Certified
- Jul 1, 1992
- Medicare certification status
- Active
- Certified beds
- 66
- Chain
- Opco Skilled Management
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 14
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 |
|---|---|---|---|
| Patrick Cash | Adp of the SNF | Nov 17, 2024 | |
| Cobalt NM Trust | Operational/Managerial Control | Nov 1, 2024 | |
| 1203 NM Holdings LLC | 5% Or Greater Direct Ownership Interest | Nov 1, 2024 | 100% |
| Eric W Metzler | Adp of the SNF | Nov 17, 2024 | |
| 1203 Hwy 60 W NM LLC | 5% Or Greater Mortgage Interest | Nov 1, 2024 | 100% |
| Adp of the SNF | Nov 6, 2024 | ||
| Talia NM Trust | 5% Or Greater Mortgage Interest | Nov 1, 2024 | 61.47% |
| Adp of the SNF | Nov 18, 2024 | ||
| Charles Stein | 5% Or Greater Indirect Ownership Interest | Nov 1, 2024 | |
| 1203 NM Realty LLC | 5% Or Greater Mortgage Interest | Nov 1, 2024 | 100% |
| Adp of the SNF | Nov 6, 2024 | ||
| Adam Mindle | 5% Or Greater Mortgage Interest | Nov 1, 2024 | |
| Byzantine NM Trust | 5% Or Greater Mortgage Interest | Nov 1, 2024 | 33.1% |
| Adp of the SNF | Nov 18, 2024 | ||
| Elizabeth Hagins | 5% Or Greater Mortgage Interest | Nov 1, 2024 | |
| Jennifer Sternshein | 5% Or Greater Indirect Ownership Interest | Nov 1, 2024 | |
| David Garetz | Corporate Officer | Nov 1, 2024 | |
| Operational/Managerial Control | Nov 6, 2024 | ||
| Periwinkle NM Trust | Operational/Managerial Control | Nov 1, 2024 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Geriatric Medicine (Family Medicine) Physician
- Socorro, NM
- NPI 1144289851
Adp of the SNF
Facilities with the same owner 3
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- Skilled Nursing Facility
- Alamogordo, NM
- NPI 1740016682
Periwinkle NM Trust
-
- Skilled Nursing Facility
- Grants, NM
- NPI 1568298404
Periwinkle NM Trust
-
- Skilled Nursing Facility
- Las Cruces, NM
- NPI 1023844966
Periwinkle NM Trust
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Albuquerque, NM
- NPI 1497930176
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1725840000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1725840000000",
"number": "1467288308",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1203 HIGHWAY 60",
"city": "SOCORRO",
"state": "NM",
"postal_code": "878015816",
"telephone_number": "575-835-2724",
"fax_number": "575-835-4378"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1203 HIGHWAY 60",
"city": "SOCORRO",
"state": "NM",
"postal_code": "878015816",
"telephone_number": "575-835-2724",
"fax_number": "575-835-4378"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOCORRO WELLNESS & REHABILITATION LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-09-09",
"last_updated": "2024-09-09",
"certification_date": "2024-09-09",
"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": []
}
Other providers in Socorro, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2024; 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.