Silverstone Healthcare of Gallup, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

1039 Issued in NM

Legal business name

SILVERSTONE HEALTHCARE OF GALLUP, LLC

Practice address

3720 Church Rock St
Gallup, NM 87301-4572

Phone

(505) 722-2261

Fax

(505) 722-4732

NPI assigned

May 23, 2006

Organization subpart

No

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

Authorized official

Name

William A. Mathies

Title

President/Director

Phone

(505) 821-3355

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Red Rocks Care Center Doing business as

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1740235142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 SUN AVE NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871094373",
            "telephone_number": "505-468-5604",
            "fax_number": "505-468-4681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3720 CHURCH ROCK ST",
            "city": "GALLUP",
            "state": "NM",
            "postal_code": "873014572",
            "telephone_number": "505-722-2261",
            "fax_number": "505-722-4732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SILVERSTONE HEALTHCARE OF GALLUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MATHIES",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT/DIRECTOR",
        "authorized_official_telephone_number": "505-821-3355"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NM",
            "license": "1039",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "95735003",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Red Rocks Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cecilia D. Silva, M.D.
• Sally Jean Silva
• Brittney Lillian Silversmith
• Josephine Silversmith
• Marriah Silversmith
• Amanda Gail Simmons, RN
• John Simmons, FNP-C
• Wanda Simmons, RN
• Bonnie Simon, RN
• Amy Marie Simpson, RN

• Skilled Nursing Facility in Gallup, NM
• Providers in Gallup, 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 Aug 22, 2020; 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.