Organization Active NPI

PH Ops of Las Estancias LLC

Doing business as Las Estancias by Pure Health

  • Skilled Nursing Facility
  • Albuquerque, NM
National Provider Identifier
1700523750
Registry record updated Jan 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
PH OPS OF LAS ESTANCIAS LLC
Doing business as
Las Estancias by Pure Health
Practice address
3620 Las Estancias Dr SW
Albuquerque, NM 87121-5504
Phone
(505) 253-9600
NPI assigned
May 19, 2022
Last updated
Jan 19, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2023

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

Authorized official

Name
Siobaughn Fraser
Title
Director of Finance
Phone
(561) 801-4235

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

3620 Las Estancias Dr SW
Albuquerque, NM 87121-5504

Mailing address

2000 Pga Blvd Ste 3230
North Palm Beach, FL 33408-2718
Phone (561) 801-4235

Other names 1

  • Las Estancias by Pure Health Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220816002046 NM Part A Provider - Skilled Nursing Facility 1254714736 Practice locations: Albuquerque,, NM

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1700523750. Details of each certification follow.

Skilled nursing facility certification: CCN 325126

Legal name
PH OPS OF LAS ESTANCIAS LLC
Doing business as
LAS ESTANCIAS BY PURE HEALTH
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jul 1, 2014
Last certification
Feb 21, 2025
Beds
120
Ownership / control type
Corporation
Multi-facility organization
Las Estancias by Purehealth
Most recent change of ownership
Jul 1, 2022
Organization structure
LLCProprietary
Incorporated
Apr 19, 2022 in DE
Enrollment address
3620 Las Estancias Dr SW
Albuquerque,, NM 87121-5504
Nursing home name
LAS ESTANCIAS BY PURE HEALTH
Affiliated entity
PUREHEALTH

Care Compare: Nursing home

Medicare Care Compare
Listed as
Las Estancias by Pure HealthCCN 325126 · All quality measures
Overall star rating
5 of 5
Health inspections
4 of 5
Staffing
4 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Jul 1, 2014
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
120111.0 residents per day on average
Chain
Purehealth8 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
32D2076496Las Estancias by Pure Health3620 Las Estancias Drive SW, Albuquerque, NM 87121Certificate of waiverApr 20, 2028

National Provider Directory

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
Eli Gottesman Individual Indirect Ownership Interest Jul 1, 2022 4.88%
Helene Gottesman Individual Indirect Ownership Interest Jul 1, 2022 4.88%
PH Ops of Las Estancias LLC Organization, Albuquerque, NM Created for acquisition, LLC, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Jul 1, 2022 100%
Organization, Palm Beach Gardens, FL LLC Adp of the SNF Apr 14, 2025
Joliette Grice Individual Operational/Managerial Control Aug 10, 2023
Adp of the SNF Aug 10, 2023
Siobaughn Fraser Individual Operational/Managerial Control Jul 1, 2022
Adp of the SNF Jul 1, 2022
Talia Gottesman Individual Indirect Ownership Interest Jul 1, 2022 4.88%
Organization, Suffern, NY LLC Adp of the SNF Jul 5, 2022
Yaffa Gottesman Individual Indirect Ownership Interest Jul 1, 2022 4.88%
Kevin Bell Individual 5% Or Greater Indirect Ownership InterestCoo Jul 1, 2022 11%
Corporate OfficerCoo Jul 1, 2022 11%
Operational/Managerial Control Jul 1, 2022
Zipora Gottesman Individual Indirect Ownership Interest Jul 1, 2022 4.88%
TX NM Operations Holdings LLC Organization, Palm Beach Gardens, FL LLC, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Jul 1, 2022 100%
Organization, Louisville, KY Medical provider/supplier Adp of the SNF Jun 5, 2025
Kccj1 Holdings LLC Organization, North Palm Beach, FL LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jul 1, 2022 11%
Elizabeth Gonzalez-Roberts Individual Operational/Managerial Control Jul 1, 2022
Adp of the SNF Jul 1, 2022
Lbei Holdings LLC Organization, Palm Beach Gardens, FL LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jul 1, 2022 50%
Radu Butuc Individual Operational/Managerial Control Sep 21, 2024
Adp of the SNF Sep 21, 2024
Atara Gottesman Individual Indirect Ownership Interest Jul 1, 2022 4.88%
Bgaf Holdings LLC Organization, Suffern, NY LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jul 1, 2022 39%
Robert Campion Individual 5% Or Greater Indirect Ownership InterestCeo Jul 1, 2022 50%
Corporate OfficerCeo Jul 1, 2022 50%
Operational/Managerial Control Jul 1, 2022
Dwight Mortgage Trust LLC Organization, New York, NY LLC, Real estate investment trust (REIT), Owned by another organization or individual 5% Or Greater Mortgage Interest Jul 1, 2022
Ava Gottesman Individual Indirect Ownership Interest Jul 1, 2022 4.88%
Organization, Bernalillo, NM LLC Adp of the SNF Jun 5, 2025
Boruch Gottesman Individual Indirect Ownership Interest Jul 1, 2022 4.88%

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 8

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

Practitioners & affiliated clinicians

Practitioners 3

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 2

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": "1652918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674086400000",
    "number": "1700523750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 PGA BLVD STE 3230",
            "city": "NORTH PALM BEACH",
            "state": "FL",
            "postal_code": "334082718",
            "telephone_number": "561-801-4235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3620 LAS ESTANCIAS DR SW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871215504",
            "telephone_number": "505-253-9600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PH OPS OF LAS ESTANCIAS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-19",
        "last_updated": "2023-01-19",
        "certification_date": "2023-01-19",
        "status": "A",
        "authorized_official_last_name": "FRASER",
        "authorized_official_first_name": "SIOBAUGHN",
        "authorized_official_title_or_position": "DIRECTOR OF FINANCE",
        "authorized_official_telephone_number": "561-801-4235"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Las Estancias by Pure Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Las Estancias by Pure Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.