Active NPI
Las Cruces Wellness & Rehabilitation LLC
- Skilled Nursing Facility
- Las Cruces, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- 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
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
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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- LLC
- 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 LLC
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Apr 11, 2018
- Medicare certification status
- Active
- Certified beds
- 75
- Chain
- Opco Skilled Management
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 32D2142398 | Las Cruces Wellness & Rehabilitation | Certificate of waiver | Aug 2, 2026 |
National Provider Directory
National Provider DirectoryOwnership & 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.
| Name | Role | Since | Share |
|---|---|---|---|
| LC Healthcare Holdings LLC | 5% Or Greater Direct Ownership Interest | May 1, 2024 | 100% |
| Operational/Managerial Control | Dec 5, 2024 | ||
| LC HCP LLC | 5% Or Greater Indirect Ownership Interest | May 1, 2024 | 97% |
| Gurrocks Trust | 5% Or Greater Indirect Ownership Interest | May 1, 2024 | 34.15% |
| Lisa Stolarczyk | Adp of the SNF | Dec 5, 2024 | |
| SBD Trust | 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 | 5% Or Greater Indirect Ownership Interest | May 1, 2024 | 63.42% |
| Adam Mindle | Trustee of the SNF | May 1, 2024 | |
| Niv Davidovich | Trustee of the SNF | May 1, 2024 | |
| Elizabeth Hagins | Trustee of the SNF | May 1, 2024 | |
| Zaffig Realty Trust | 5% Or Greater Mortgage Interest | May 1, 2024 | 63.42% |
| Trustee of the SNF | May 1, 2024 | ||
| Jennifer L Roach | W-2 Managing Employee | May 1, 2024 | |
| Adp of the SNF | Dec 5, 2024 | ||
| Jennifer Sternshein | Trustee of the SNF | May 1, 2024 | |
| David Garetz | 5% Or Greater Indirect Ownership Interest | May 1, 2024 | 2% |
| Corporate Officer | May 1, 2024 | ||
| Managing Control - Governing Body | 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.
-
- Emergency Medicine Physician
- Las Cruces, NM
- NPI 1861531865
-
- Family Medicine Physician
- Las Cruces, NM
- NPI 1366673881
-
- Emergency Medicine Physician
- Belen, NM
- NPI 1356473144
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 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.