NPIMap

Organization Active NPI

Peak Medical New Mexico No. 3 LLC

Doing business as Rio Rancho Center

  • Skilled Nursing Facility
  • Rio Rancho, NM
National Provider Identifier
1659325504
Registry record updated Feb 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
1041 Issued in NM
Legal business name
PEAK MEDICAL NEW MEXICO NO. 3 LLC
Doing business as
Rio Rancho Center
Practice address
4210 Sabana Grande Ave SE
Rio Rancho, NM 87124-1152
Phone
(505) 892-6603
Fax
(505) 891-8774
NPI assigned
May 22, 2006
Last updated
Feb 8, 2017By the provider in NPPES
Organization subpart
Yes
Parent organization
PEAK MEDICAL, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 8, 2017

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

Authorized official

Name
Michael Berg
Title
Assistant Secretary
Phone
(505) 468-4752

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 1041 NM Primary

Addresses

Primary practice location

4210 Sabana Grande Ave SE
Rio Rancho, NM 87124-1152

Mailing address

4210 Sabana Grande Ave SE
Rio Rancho, NM 87124-1152
Phone (505) 892-6603

Other identifiers 1

IdentifierTypeStateIssuer
48279315MedicaidNM

Other names 1

  • Rio Rancho Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20030828000021 NM Part A Provider - Skilled Nursing Facility 0840101234 Practice locations: Rio Rancho, NM

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1659325504. Details of each certification follow.

Skilled nursing facility certification: CCN 325033

Legal name
PEAK MEDICAL NEW MEXICO NO 3 LLC
Doing business as
RIO RANCHO CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Nov 4, 1982
Last certification
Feb 25, 2025
Beds
120
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Genesis Healthcare Inc.
Organization structure
CorporationProprietary
Incorporated
Nov 26, 2001 in DE
Enrollment address
4210 Sabana Grande Ave SE
Rio Rancho, NM 87124-1152
Nursing home name
RIO RANCHO CENTER
Affiliated entity
GENESIS HEALTHCARE

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Nursing home

Medicare Care Compare
Listed as
Rio Rancho CenterCCN 325033 · All quality measures
Overall star rating
1 of 5
Health inspections
2 of 5
Staffing
1 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Nov 4, 1982
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
120112.7 residents per day on average
Chain
Genesis Healthcare184 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
32D0662752Rio Rancho Center4210 Sabana Grande SE, Rio Rancho, NM 87124Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory
Tax ID family
Peak Medical New Mexico No 3 LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 24

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

NameRoleSinceShare
Laura Bridgeford Individual Corporate OfficerTreasurer Jun 1, 2024
Organization, Kennett Square, PA LLC Adp of the SNF Mar 9, 2025
HCCF Management Group XI LLC Organization, Atlanta, GA LLC, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Nov 15, 2022 10.8%
Gen Operations I LLC Organization, Kennett Square, PA For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Dec 1, 2012 100%
Organization, Kennett Square, PA LLC Adp of the SNF Mar 9, 2025
Gen Operations II LLC Organization, Kennett Square, PA For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Dec 1, 2012 100%
Diane Louise Morris Individual Operational/Managerial Control Apr 1, 2024
FC-Gen Operations Investment LLC Organization, Kennett Square, PA For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Dec 1, 2012 100%
Organization, Columbus, OH For-profit Adp of the SNF Mar 9, 2025
Sundance Rehabilitation Holdco Inc Organization, Kennett Square, PA Holding company, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jan 1, 2016 5.2%
Genesis Healthcare LLC Organization, Kennett Square, PA LLC, Chain home office, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Feb 2, 2015 100%
Sun Healthcare Group Inc Organization, Kennett Square, PA Corporation, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Feb 2, 2015 65.3%
Charlesly M Joseph Individual Operational/Managerial Control Jun 1, 2024
Adp of the SNF Mar 9, 2025
Welltower Op, LLC Organization, Toledo, OH LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jun 1, 2024 5.7%
Arnold M Whitman Individual 5% Or Greater Indirect Ownership InterestN/a Feb 2, 2015 10.8%
Peak Medical LLC Organization, Kennett Square, PA LLC, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Feb 2, 2015 100%
Genesis Healthcare Inc Organization, Kennett Square, PA Corporation, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Feb 2, 2015 100%
Zac Properties XI LLC Organization, Philadelphia, PA LLC, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Nov 15, 2022 7.6%
Olivia Armijo Individual Operational/Managerial Control Jun 1, 2024
Adp of the SNF Mar 9, 2025
Steven E Fishman Individual 5% Or Greater Indirect Ownership InterestN/a Feb 2, 2015 7.6%
Avi Pinchas Mendelson Individual Corporate OfficerPresident, Cfo Jun 1, 2024
Michael T Berg Individual Corporate OfficerSecretary Mar 2, 2015
Sunbridge Healthcare LLC Organization, Kennett Square, PA For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Apr 20, 2007 100%
Genesis Holdings LLC Organization, Kennett Square, PA For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Feb 2, 2015 100%

Owners & managing parties with NPI records 8

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 174

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

  • 1650 Galisteo Street Operations LLC

    dba Casa Real

    • Skilled Nursing Facility
    • Santa Fe, NM
    • NPI 1629556188

    FC-Gen Operations Investment LLC, Gen Operations I LLC, Gen Operations II LLC, Genesis Healthcare Inc, Genesis Healthcare LLC, Genesis Holdings LLC, HCCF Management Group XI LLC, Sun Healthcare Group Inc, Sundance Rehabilitation Holdco Inc, Wellt

    CMS ownership
  • 3514 Fowler Avenue Operations LLC

    dba Silver City Care Center

    • Skilled Nursing Facility
    • Silver City, NM
    • NPI 1992284053

    FC-Gen Operations Investment LLC, Gen Operations I LLC, Gen Operations II LLC, Genesis Healthcare Inc, Genesis Healthcare LLC, Genesis Holdings LLC, HCCF Management Group XI LLC, Sun Healthcare Group Inc, Sundance Rehabilitation Holdco Inc, Wellt

    CMS ownership
  • 3720 Church Rock Street Operations LLC

    dba Red Rocks Care Center

    • Skilled Nursing Facility
    • Gallup, NM
    • NPI 1356820419

    FC-Gen Operations Investment LLC, Gen Operations I LLC, Gen Operations II LLC, Genesis Healthcare Inc, Genesis Healthcare LLC, Genesis Holdings LLC, HCCF Management Group XI LLC, Sun Healthcare Group Inc, Sundance Rehabilitation Holdco Inc, Wellt

    CMS ownership
  • 419 Harding Street Operation LLC

    dba Clayton Nursing and Rehab

    • Skilled Nursing Facility
    • Clayton, NM
    • NPI 1730668880

    FC-Gen Operations Investment LLC, Gen Operations I LLC, Gen Operations II LLC, Genesis Healthcare Inc, Genesis Holdings LLC, HCCF Management Group XI LLC, Sun Healthcare Group Inc, Sundance Rehabilitation Holdco Inc, Welltower Op, LLC, Zac Proper

    CMS ownership
  • 803 Hacienda Lane Operations LLC

    dba Bloomfield Nursing and Rehab

    • Skilled Nursing Facility
    • Bloomfield, NM
    • NPI 1134607690

    FC-Gen Operations Investment LLC, Gen Operations I LLC, Gen Operations II LLC, Genesis Healthcare Inc, Genesis Healthcare LLC, Genesis Holdings LLC, HCCF Management Group XI LLC, Sun Healthcare Group Inc, Sundance Rehabilitation Holdco Inc, Wellt

    CMS ownership
  • Albuquerque Heights Healthcare and Rehabilitation Center, LLC

    dba Albuquerque Heights Healthcare and Rehabilitation Center

    • Skilled Nursing Facility
    • Albuquerque, NM
    • NPI 1629260781

    FC-Gen Operations Investment LLC, Gen Operations I LLC, Gen Operations II LLC, Genesis Healthcare Inc, Genesis Healthcare LLC, HCCF Management Group XI LLC, Sun Healthcare Group Inc, Sundance Rehabilitation Holdco Inc, Welltower Op, LLC, Zac Prop

    CMS ownership
  • Belen Meadows Healthcare and Rehabilitation Center, LLC

    dba Belen Meadows Healthcare and Rehabilitation Center

    • Skilled Nursing Facility
    • Belen, NM
    • NPI 1528250685

    FC-Gen Operations Investment LLC, Gen Operations I LLC, Gen Operations II LLC, Genesis Healthcare Inc, Genesis Healthcare LLC, HCCF Management Group XI LLC, Sun Healthcare Group Inc, Sundance Rehabilitation Holdco Inc, Zac Properties XI LLC

    CMS ownership
  • Beyondfaith Homecare & Rehab of Albuquerque LLC

    dba Compassus Home Health Albuquerque NM

    • Home Health Agency
    • Albuquerque, NM
    • NPI 1184665044

    Genesis Healthcare Inc

    CMS ownership
  • Canyon Transitional Rehabilitation Center, LLC

    dba Canyon Transitional Rehabilitation Center

    • Skilled Nursing Facility
    • Albuquerque, NM
    • NPI 1326230483

    FC-Gen Operations Investment LLC, Gen Operations I LLC, Gen Operations II LLC, Genesis Healthcare Inc, Genesis Healthcare LLC, HCCF Management Group XI LLC, Sun Healthcare Group Inc, Sundance Rehabilitation Holdco Inc, Welltower Op, LLC, Zac Prop

    CMS ownership
  • Clovis Healthcare and Rehabilitation Center, LLC

    dba Clovis Healthcare and Rehabilitation Center

    • Skilled Nursing Facility
    • Clovis, NM
    • NPI 1225220387

    FC-Gen Operations Investment LLC, Gen Operations I LLC, Gen Operations II LLC, Genesis Healthcare Inc, Genesis Healthcare LLC, HCCF Management Group XI LLC, Sun Healthcare Group Inc, Sundance Rehabilitation Holdco Inc, Welltower Op, LLC, Zac Prop

    CMS ownership
  • Peak Medical Las Cruces No. 2, LLC

    dba Casa De Oro Center

    • Skilled Nursing Facility
    • Las Cruces, NM
    • NPI 1295780146

    FC-Gen Operations Investment LLC, Gen Operations I LLC, Gen Operations II LLC, Genesis Healthcare Inc, Genesis Healthcare LLC, Genesis Holdings LLC, HCCF Management Group XI LLC, Peak Medical LLC, Sun Healthcare Group Inc, Sunbridge Healthcare LL

    CMS ownership
  • Peak Medical Las Cruces, LLC

    dba Casa Del Sol Center

    • Skilled Nursing Facility
    • Las Cruces, NM
    • NPI 1164476008

    FC-Gen Operations Investment LLC, Gen Operations I LLC, Gen Operations II LLC, Genesis Healthcare Inc, Genesis Healthcare LLC, Genesis Holdings LLC, HCCF Management Group XI LLC, Peak Medical LLC, Sun Healthcare Group Inc, Sunbridge Healthcare LL

    CMS ownership
View all 174

Practitioners & affiliated clinicians

Practitioners 1

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": "1148256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486512000000",
    "number": "1659325504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4210 SABANA GRANDE AVE SE",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871241152",
            "telephone_number": "505-892-6603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4210 SABANA GRANDE AVE SE",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871241152",
            "telephone_number": "505-892-6603",
            "fax_number": "505-891-8774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEAK MEDICAL NEW MEXICO NO. 3 LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PEAK MEDICAL, LLC",
        "enumeration_date": "2006-05-22",
        "last_updated": "2017-02-08",
        "status": "A",
        "authorized_official_last_name": "BERG",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "ASSISTANT SECRETARY",
        "authorized_official_telephone_number": "505-468-4752"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NM",
            "license": "1041",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "48279315",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rio Rancho Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rio Rancho, NM

Sources for this page

Verify at the official NPI Registry.