Organization Active NPI

Socorro Wellness & Rehabilitation LLC

  • Skilled Nursing Facility
  • Socorro, NM
National Provider Identifier
1467288308
Registry record updated Sep 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
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

Updated by the provider on Sep 9, 2024

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 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 IDStateProvider typePAC IDDetails
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
LLCProprietary
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 & RehabilitationCCN 325073
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 - Individual
Certified
Jul 1, 1992
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
6658.9 residents per day on average
Chain
Opco Skilled Management66 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & 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.

NameRoleSinceShare
Patrick Cash Individual Adp of the SNF Nov 17, 2024
Cobalt NM Trust Organization, Los Angeles, CA Operational/Managerial Control Nov 1, 2024
1203 NM Holdings LLC Organization, Los Angeles, CA LLC, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Nov 1, 2024 100%
Eric W Metzler Individual Adp of the SNF Nov 17, 2024
1203 Hwy 60 W NM LLC Organization, Los Angeles, CA LLC, Owned by another organization or individual 5% Or Greater Mortgage Interest Nov 1, 2024 100%
Adp of the SNF Nov 6, 2024
Talia NM Trust Organization, Los Angeles, CA 5% Or Greater Mortgage Interest Nov 1, 2024 61.47%
Adp of the SNF Nov 18, 2024
Charles Stein Individual 5% Or Greater Indirect Ownership InterestTrustee of Cobalt NM Trust Nov 1, 2024
1203 NM Realty LLC Organization, Los Angeles, CA LLC, Owned by another organization or individual 5% Or Greater Mortgage Interest Nov 1, 2024 100%
Adp of the SNF Nov 6, 2024
Adam Mindle Individual 5% Or Greater Mortgage InterestTrustee Nov 1, 2024
Byzantine NM Trust Organization, Los Angeles, CA 5% Or Greater Mortgage Interest Nov 1, 2024 33.1%
Adp of the SNF Nov 18, 2024
Elizabeth Hagins Individual 5% Or Greater Mortgage InterestTrustee of Byzantine NM Trust Nov 1, 2024
Jennifer Sternshein Individual 5% Or Greater Indirect Ownership InterestTrustee Nov 1, 2024
David Garetz Individual Corporate OfficerCfo Nov 1, 2024
Operational/Managerial Control Nov 6, 2024
Periwinkle NM Trust Organization, Los Angeles, CA 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.

Facilities with the same owner 3

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.

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

Verify at the official NPI Registry.