Organization Active NPI

Betty Dare Wellness & Rehabilitation LLC

  • Skilled Nursing Facility
  • Alamogordo, NM
National Provider Identifier
1740016682
Registry record updated Sep 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
BETTY DARE WELLNESS & REHABILITATION LLC
Practice address
3101 N Florida Ave
Alamogordo, NM 88310-9713
Phone
(575) 434-0033
Fax
(575) 434-0975
NPI assigned
Sep 9, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2024

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

Authorized official

Name
David Garetz
Title
Cfo
Phone
(323) 987-5954

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

3101 N Florida Ave
Alamogordo, NM 88310-9713

Mailing address

3101 N Florida Ave
Alamogordo, NM 88310-9713
Phone (575) 434-0033

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241220003495 NM Part A Provider - Skilled Nursing Facility 9537696091 Practice locations: Alamogordo, NM

Skilled nursing facility certification: CCN 325061

Legal name
BETTY DARE WELLNESS & REHABILITATION LLC
Doing business as
BETTY DARE WELLNESS & REHABILITATION
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jan 31, 1992
Last certification
Aug 15, 2024
Beds
90
Ownership / control type
Limited Liability Corporation
Multi-facility organization
OPCO SKILLED MANAGEMENT
Organization structure
LLCProprietary
Enrollment address
3101 N Florida Ave
Alamogordo, NM 88310-9713
Nursing home name
BETTY DARE WELLNESS & REHABILITATION LLC
Affiliated entity
OPCO SKILLED MANAGEMENT

Care Compare: Nursing home

Medicare Care Compare
Listed as
Betty Dare Wellness & Rehabilitation LLCCCN 325061
Overall star rating
2 of 5
Health inspections
2 of 5
Staffing
3 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Jan 31, 1992
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
9072.6 residents per day on average
Chain
Opco Skilled Management66 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 21

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

NameRoleSinceShare
Esdov Investments LLC Organization, Los Angeles, CA LLC, Owned by another organization or individual 5% Or Greater Mortgage Interest Nov 1, 2024 2.43%
3101 NM Holdings, LLC Organization, Los Angeles, CA LLC, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Nov 1, 2024 100%
First Sweetzer Holdings LLC Organization, Los Angeles, CA LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Nov 1, 2024 2%
5% Or Greater Mortgage Interest Nov 1, 2024 2%
JSHP Holdings, LLC Organization, Los Angeles, CA LLC Operational/Managerial Control Nov 5, 2024
Hatteras Investments, LLC Organization, Los Angeles, CA LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Nov 1, 2024 1%
5% Or Greater Mortgage Interest Nov 1, 2024 1%
3101 N Florida Ave NM, LLC Organization, Los Angeles, CA LLC, Owned by another organization or individual 5% Or Greater Mortgage Interest Nov 1, 2024 100%
Adp of the SNF Dec 20, 2024
Sasem Investments LLC Organization, Los Angeles, CA LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Nov 1, 2024 2.43%
3101 NM Realty, LLC Organization, Los Angeles, CA LLC, Owned by another organization or individual 5% Or Greater Mortgage Interest Nov 1, 2024 100%
Adp of the SNF Dec 20, 2024
Talia NM Trust Organization, Los Angeles, CA 5% Or Greater Mortgage Interest Nov 1, 2024 61.47%
Adp of the SNF Dec 20, 2024
Lisa Stolarczyk Individual Adp of the SNF Dec 20, 2024
Adam Mindle Individual 5% Or Greater Mortgage InterestTrustee Nov 1, 2024
Niv Davidovich Individual 5% Or Greater Indirect Ownership InterestTrustee of Cerulean Trust Nov 1, 2024
Byzantine NM Trust Organization, Los Angeles, CA 5% Or Greater Mortgage Interest Nov 1, 2024 33.01%
Adp of the SNF Dec 20, 2024
Elizabeth Hagins Individual 5% Or Greater Mortgage InterestTrustee of Byzantine NM Trust Nov 1, 2024
Esther Kaplan Individual 5% Or Greater Indirect Ownership Interest Nov 1, 2024 2.43%
5% Or Greater Mortgage Interest Nov 1, 2024 2.43%
Jennifer Sternshein Individual 5% Or Greater Indirect Ownership InterestTrustee Nov 1, 2024
Trustee of the SNF Nov 1, 2024
Derek Washington Individual Operational/Managerial Control Nov 1, 2024
Adp of the SNF Dec 20, 2024
David Garetz Individual 5% Or Greater Indirect Ownership Interest Nov 1, 2024 2%
5% Or Greater Mortgage Interest Nov 1, 2024 2%
Corporate OfficerCfo Nov 1, 2024
Operational/Managerial Control Nov 6, 2024
Cerulean NM Trust Organization, Los Angeles, CA 5% Or Greater Indirect Ownership Interest Nov 1, 2024 61.47%
Mosha Kaplan Individual 5% Or Greater Indirect Ownership Interest Nov 1, 2024 1%
5% Or Greater Mortgage Interest Nov 1, 2024 1%
Periwinkle NM Trust Organization, Los Angeles, CA 5% Or Greater Indirect Ownership Interest Nov 1, 2024 31.1%

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 3

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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": "1725840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725840000000",
    "number": "1740016682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3101 N FLORIDA AVE",
            "city": "ALAMOGORDO",
            "state": "NM",
            "postal_code": "883109713",
            "telephone_number": "575-434-0033",
            "fax_number": "575-434-0975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3101 N FLORIDA AVE",
            "city": "ALAMOGORDO",
            "state": "NM",
            "postal_code": "883109713",
            "telephone_number": "575-434-0033",
            "fax_number": "575-434-0975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETTY DARE WELLNESS & REHABILITATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-09",
        "last_updated": "2024-09-09",
        "certification_date": "2024-09-09",
        "status": "A",
        "authorized_official_last_name": "GARETZ",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "323-987-5954"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alamogordo, NM

Sources for this page

Verify at the official NPI Registry.