Active NPI
PH Ops of Las Estancias LLC
Doing business as Las Estancias by Pure Health
- Skilled Nursing Facility
- Albuquerque, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- 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, 2023
- 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
- Siobaughn Fraser
- Title
- Director of Finance
- Phone
- (561) 801-4235
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- LLC
- 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 Health
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Jul 1, 2014
- Medicare certification status
- Active
- Certified beds
- 120
- Chain
- Purehealth
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 |
|---|---|---|---|
| 32D2076496 | Las Estancias by Pure Health | Certificate of waiver | Apr 20, 2028 |
National Provider Directory
National Provider DirectoryOwnership & 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.
| Name | Role | Since | Share |
|---|---|---|---|
| Eli Gottesman | Indirect Ownership Interest | Jul 1, 2022 | 4.88% |
| Helene Gottesman | Indirect Ownership Interest | Jul 1, 2022 | 4.88% |
| PH Ops of Las Estancias LLC | 5% Or Greater Direct Ownership Interest | Jul 1, 2022 | 100% |
| Adp of the SNF | Apr 14, 2025 | ||
| Joliette Grice | Operational/Managerial Control | Aug 10, 2023 | |
| Adp of the SNF | Aug 10, 2023 | ||
| Siobaughn Fraser | Operational/Managerial Control | Jul 1, 2022 | |
| Adp of the SNF | Jul 1, 2022 | ||
| Talia Gottesman | Indirect Ownership Interest | Jul 1, 2022 | 4.88% |
| Adp of the SNF | Jul 5, 2022 | ||
| Yaffa Gottesman | Indirect Ownership Interest | Jul 1, 2022 | 4.88% |
| Kevin Bell | 5% Or Greater Indirect Ownership Interest | Jul 1, 2022 | 11% |
| Corporate Officer | Jul 1, 2022 | 11% | |
| Operational/Managerial Control | Jul 1, 2022 | ||
| Zipora Gottesman | Indirect Ownership Interest | Jul 1, 2022 | 4.88% |
| TX NM Operations Holdings LLC | 5% Or Greater Direct Ownership Interest | Jul 1, 2022 | 100% |
| Adp of the SNF | Jun 5, 2025 | ||
| Kccj1 Holdings LLC | 5% Or Greater Indirect Ownership Interest | Jul 1, 2022 | 11% |
| Elizabeth Gonzalez-Roberts | Operational/Managerial Control | Jul 1, 2022 | |
| Adp of the SNF | Jul 1, 2022 | ||
| Lbei Holdings LLC | 5% Or Greater Indirect Ownership Interest | Jul 1, 2022 | 50% |
| Radu Butuc | Operational/Managerial Control | Sep 21, 2024 | |
| Adp of the SNF | Sep 21, 2024 | ||
| Atara Gottesman | Indirect Ownership Interest | Jul 1, 2022 | 4.88% |
| Bgaf Holdings LLC | 5% Or Greater Indirect Ownership Interest | Jul 1, 2022 | 39% |
| Robert Campion | 5% Or Greater Indirect Ownership Interest | Jul 1, 2022 | 50% |
| Corporate Officer | Jul 1, 2022 | 50% | |
| Operational/Managerial Control | Jul 1, 2022 | ||
| Dwight Mortgage Trust LLC | 5% Or Greater Mortgage Interest | Jul 1, 2022 | |
| Ava Gottesman | Indirect Ownership Interest | Jul 1, 2022 | 4.88% |
| Adp of the SNF | Jun 5, 2025 | ||
| Boruch Gottesman | 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.
-
- Internal Medicine Physician
- Albuquerque, NM
- NPI 1245579796
Adp of the SNF, Operational/Managerial Control
Facilities with the same owner 8
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
dba Princeton Health & Rehabilitation
- Skilled Nursing Facility
- Albuquerque, NM
- NPI 1578344818
Kccj1 Holdings LLC, Lbei Holdings LLC
-
dba Manzano Del Sol by PureHealth
- Skilled Nursing Facility
- Albuquerque, NM
- NPI 1568289171
Kccj1 Holdings LLC, Lbei Holdings LLC
-
dba The Shoal
- Skilled Nursing Facility
- Texas City, TX
- NPI 1417686239
TX NM Operations Holdings LLC
-
dba Denton Village by PureHealth
- Skilled Nursing Facility
- Denton, TX
- NPI 1407673023
Kccj1 Holdings LLC, Lbei Holdings LLC
-
dba Lake Forest Village by PureHealth
- Skilled Nursing Facility
- Denton, TX
- NPI 1720805336
Kccj1 Holdings LLC, Lbei Holdings LLC
-
dba Pure Health Transitional Care at THR Arlington
- Skilled Nursing Facility
- Arlington, TX
- NPI 1548907314
Bgaf Holdings LLC, Kccj1 Holdings LLC, Lbei Holdings LLC
-
dba The Brightpointe
- Skilled Nursing Facility
- Conroe, TX
- NPI 1447997895
Bgaf Holdings LLC, Kccj1 Holdings LLC, Lbei Holdings LLC, TX NM Operations Holdings LLC
-
dba Pure Health Transitional Care at Texas Health Presbyterian
- Skilled Nursing Facility
- Dallas, TX
- NPI 1790422822
Bgaf Holdings LLC, Kccj1 Holdings LLC, Lbei Holdings LLC
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.
-
- Internal Medicine Physician
- Albuquerque, NM
- NPI 1245579796
-
- Family Medicine Physician
- Bernalillo, NM
- NPI 1003081928
-
- Family Medicine Physician
- Albuquerque, NM
- NPI 1124119698
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2023; 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.