NPIMap

Organization Active NPI

Retirement Ranches, Inc

  • Skilled Nursing Facility
  • Clovis, NM
National Provider Identifier
1528059011
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
5092 Issued in NM
Legal business name
RETIREMENT RANCHES, INC
Practice address
2221 Dillon Rd
Clovis, NM 88101-9454
Phone
(505) 762-4495
Fax
(505) 762-8051
NPI assigned
Nov 2, 2005
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Marvin Schultz
Title
Administrator
Phone
(505) 762-4495

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 5092 NM Primary

Addresses

Primary practice location

2221 Dillon Rd
Clovis, NM 88101-9454

Mailing address

2221 Dillon Rd
Clovis, NM 88101-9454
Phone (505) 762-4495

Other identifiers 1

IdentifierTypeStateIssuer
I0514MedicaidNM

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100526001098 NM Part A Provider - Skilled Nursing Facility 1052440278 Practice locations: Clovis, NM

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1528059011. Details of each certification follow.

Skilled nursing facility certification: CCN 325078

Legal name
RETIREMENT RANCHES, INC
Doing business as
VERTILOCITY
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jul 6, 1992
Last certification
Aug 1, 2024
Beds
104
Ownership / control type
Nonprofit Corporation
Organization structure
CorporationNon-profit
Incorporated
May 5, 1961 in NM
Enrollment address
2221 Dillon Rd
Clovis, NM 88101-9454
Nursing home name
RETIREMENT RANCHES INC.

Care Compare: Nursing home

Medicare Care Compare
Listed as
Retirement Ranches Inc.CCN 325078 · All quality measures
Overall star rating
5 of 5
Health inspections
4 of 5
Staffing
5 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
Jul 6, 1992
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
10485.4 residents per day on average
Penalties (3 years)
10Fines totaling $64,153

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
32D0671894Retirement Ranches Inc2221 Dillon Street, Clovis, NM 88101Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Locations

2221 Dillon Rd
Clovis, NM 88101
Phone (575) 762-4495

Ownership & related parties

All disclosed owners & managing parties 15

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

NameRoleSinceShare
John Frerichs Individual Managing Control - Governing Body Feb 13, 2017
Cliftonlarsonallen LLP Organization, Minneapolis, MN Other Jan 1, 2022
Adp of the SNF Jan 7, 2025
Carriage Healthcare Companies Inc Organization, Lakewood, CO Management services company Operational/Managerial Control Dec 26, 2024
Adp of the SNF Jan 7, 2025
Harry Pomeroy Individual Managing Control - Governing Body Jan 1, 2001
Twila Tunnell Individual Managing Control - Governing Body Feb 13, 2017
Christina Tatum Individual Managing Control - Governing Body Jan 1, 2011
The Citizens Bank of Clovis Organization, Clovis, NM Financial institution Other Jan 1, 1989
Adp of the SNF Jan 7, 2025
Lori Hartley Individual Managing Control - Governing Body Nov 12, 2018
Kevin Spears Individual Corporate Director Feb 1, 2021
Trustee of the SNF Feb 1, 2021
HBT It LLC Organization, Bridgeville, PA Consulting firm, Owned by another organization or individual Other Feb 1, 2023
Bhaskar Sahay Individual Contracted Managing EmployeeMD; Sep 10, 2021
Adp of the SNF Jan 7, 2025
Doyle Harris Individual W-2 Managing EmployeeAd; Nov 16, 2007 75%
Adp of the SNF Jan 7, 2025
Terry Buesgens Individual Managing Control - Governing BodyBoard Member Feb 11, 2019
Contemporary Benefits, LLC Organization, Ransom Canyon, TX Other Jan 1, 1996
Adp of the SNF Jan 7, 2025
Kimberly Burrow Individual W-2 Managing EmployeeDirector of Nursing Jun 23, 2021
Adp of the SNF Jan 7, 2025

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 10

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 1

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": "1130889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1528059011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2221 DILLON RD",
            "city": "CLOVIS",
            "state": "NM",
            "postal_code": "881019454",
            "telephone_number": "505-762-4495",
            "fax_number": "505-762-8051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2221 DILLON RD",
            "city": "CLOVIS",
            "state": "NM",
            "postal_code": "881019454",
            "telephone_number": "505-762-4495",
            "fax_number": "505-762-8051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RETIREMENT RANCHES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SCHULTZ",
        "authorized_official_first_name": "MARVIN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "505-762-4495",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NM",
            "license": "5092",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "I0514",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clovis, NM

Sources for this page

Verify at the official NPI Registry.