Los Alamos Retirement Center, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

5180 Issued in NM

Legal business name

LOS ALAMOS RETIREMENT CENTER, INC.

Doing business as

Sombrillo Nursing Facility

Practice address

1011 Sombrillo CT
Los Alamos, NM 87544-3246

Phone

(505) 662-4300

Fax

(505) 662-2630

NPI assigned

Jun 29, 2006

Last updated

Jan 19, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Robert Jeremy Martin

Title

President, Heritage Management

Phone

(505) 468-0219

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Sombrillo Nursing Facility Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642550400000",
    "number": "1730117722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 SOMBRILLO CT",
            "city": "LOS ALAMOS",
            "state": "NM",
            "postal_code": "875443246",
            "telephone_number": "505-662-4300",
            "fax_number": "505-662-2630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 SOMBRILLO CT",
            "city": "LOS ALAMOS",
            "state": "NM",
            "postal_code": "875443246",
            "telephone_number": "505-662-4300",
            "fax_number": "505-662-2630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOS ALAMOS RETIREMENT CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-29",
        "last_updated": "2022-01-19",
        "certification_date": "2022-01-19",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "JEREMY",
        "authorized_official_title_or_position": "PRESIDENT, HERITAGE MANAGEMENT",
        "authorized_official_telephone_number": "505-468-0219"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "NM",
            "license": "5180",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NM",
            "license": "5180",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "I0571",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sombrillo Nursing Facility",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sombrillo Nursing Facility",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Los Alamos Physician Practices LLC (Los Alamos Surgical Assoc - Orthopedics)
• Los Alamos Physician Practices LLC
• Los Alamos Physician Practices LLC (Los Alamos Surgical Assoc- Urology)
• Los Alamos Physician Practices, LLC (Los Alamos General Surgery Clinic)
• Los Alamos Retired Senior Organization
• Los Alamos Visiting Nurse Service, Inc
• Los Alamos Visiting Nurse Service, Inc.
• Los Alamos Wellness & Rehabilitation LLC
• Los Alamos Womens Health Services, PC
• Leticia A Luketich Martinez, CNP

• Skilled Nursing Facility in Los Alamos, NM
• Providers in Los Alamos, NM by specialty
• Skilled Nursing Facility in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.