Organization Active NPI

Las Cruces Wellness & Rehabilitation LLC

  • Skilled Nursing Facility
  • Las Cruces, NM
National Provider Identifier
1487411328
Registry record updated Mar 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
LAS CRUCES WELLNESS & REHABILITATION LLC
Practice address
175 N Roadrunner Pkwy
Las Cruces, NM 88011-8090
Phone
(575) 386-5800
Fax
(575) 522-0472
NPI assigned
Mar 5, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 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

175 N Roadrunner Pkwy
Las Cruces, NM 88011-8090

Mailing address

175 N Roadrunner Pkwy
Las Cruces, NM 88011-8090
Phone (575) 386-5800

Other names 1

  • Las Cruces Wellness & Rehabilitation Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240705001654 NM Part A Provider - Skilled Nursing Facility 9335683028 Practice locations: Las Cruces, NM

Skilled nursing facility certification: CCN 325132

Legal name
LAS CRUCES WELLNESS & REHABILITATION LLC
Doing business as
LAS CRUCES WELLNESS & REHABILITATION
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Apr 11, 2018
Last certification
Jul 2, 2024
Beds
75
Ownership / control type
Limited Liability Corporation
Most recent change of ownership
May 1, 2024
Organization structure
LLCProprietary
Enrollment address
175 N Roadrunner Pkwy
Las Cruces, NM 88011-8090
Nursing home name
LAS CRUCES WELLNESS & REHABILITATION LLC
Affiliated entity
OPCO SKILLED MANAGEMENT

Care Compare: Nursing home

Medicare Care Compare
Listed as
Las Cruces Wellness & Rehabilitation LLCCCN 325132
Overall star rating
3 of 5
Health inspections
3 of 5
Staffing
3 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Apr 11, 2018
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
7551.3 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
32D2142398Las Cruces Wellness & Rehabilitation175 N Roadrunner Parkway, Las Cruces, NM 88011Certificate of waiverAug 2, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 13

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
LC Healthcare Holdings LLC Organization, Los Angeles, CA LLC, Investment firm, Owned by another organization or individual 5% Or Greater Direct Ownership Interest May 1, 2024 100%
Operational/Managerial Control Dec 5, 2024
LC HCP LLC Organization, Los Angeles, CA LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest May 1, 2024 97%
Gurrocks Trust Organization, Los Angeles, CA 5% Or Greater Indirect Ownership Interest May 1, 2024 34.15%
Lisa Stolarczyk Individual Adp of the SNF Dec 5, 2024
SBD Trust Organization, Los Angeles, CA 5% Or Greater Mortgage Interest May 1, 2024 34.15%
Trustee of the SNF May 1, 2024
Adp of the SNF Dec 5, 2024
Zees K Trust Organization, Los Angeles, CA 5% Or Greater Indirect Ownership Interest May 1, 2024 63.42%
Adam Mindle Individual Trustee of the SNF May 1, 2024
Niv Davidovich Individual Trustee of the SNF May 1, 2024
Elizabeth Hagins Individual Trustee of the SNF May 1, 2024
Zaffig Realty Trust Organization, Los Angeles, CA 5% Or Greater Mortgage Interest May 1, 2024 63.42%
Trustee of the SNF May 1, 2024
Jennifer L Roach Individual W-2 Managing EmployeeAd; May 1, 2024
Adp of the SNF Dec 5, 2024
Jennifer Sternshein Individual Trustee of the SNF May 1, 2024
David Garetz Individual 5% Or Greater Indirect Ownership Interest May 1, 2024 2%
Corporate OfficerCfo May 1, 2024
Managing Control - Governing BodyCfo May 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.

Practitioners & affiliated clinicians

Practitioners 3

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

Affiliated clinicians 4

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": "1709596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709596800000",
    "number": "1487411328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 N ROADRUNNER PKWY",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880118090",
            "telephone_number": "575-386-5800",
            "fax_number": "575-522-0472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 N ROADRUNNER PKWY",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880118090",
            "telephone_number": "575-386-5800",
            "fax_number": "575-522-0472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAS CRUCES WELLNESS & REHABILITATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-05",
        "last_updated": "2024-03-05",
        "certification_date": "2024-03-05",
        "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": "Las Cruces Wellness & Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Las Cruces, NM

Sources for this page

Verify at the official NPI Registry.