Artesia Healthcare & Rehabilitation Center LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

ARTESIA HEALTHCARE & REHABILITATION CENTER LLC

Practice address

1402 W Gilchrist Ave
Artesia, NM 88210-1134

Phone

(575) 746-6006

NPI assigned

Jan 17, 2020

Last updated

Aug 26, 2021By 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

Kenneth Goldblatt

Title

Ceo

Phone

(818) 522-4166

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NM

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1770113722. Details of each certification follow.

• CCN 325128 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 325128

Legal name

ARTESIA HEALTHCARE & REHABILITATION CENTER, LLC

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Dec 21, 2015

Last certification

Mar 7, 2025

Beds

65

Ownership / control type

Corporation

Multi-facility organization

Vivage-Beecan

Organization structure

LLCProprietary

Incorporated

Oct 4, 2019 in NM

Enrollment address

1402 W Gilchrist Ave
Artesia, NM 88210-1134

Nursing home name

ARTESIA HEALTHCARE & REHABILITATION CENTER, LLC

Listed as

Artesia Healthcare & Rehabilitation Center, LLCCCN 325128 · All quality measures

Overall star rating

3 of 5

Health inspections

3 of 5

Staffing

3 of 5

Quality measures

2 of 5

Type

Medicare and Medicaid

Ownership

For profit - Corporation

Certified

Dec 21, 2015

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

6551.1 residents per day on average

Processed by Care Compare on Aug 1, 2026.

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

All disclosed owners & managing parties 3

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

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.

• Herbert Uzoma Ojiaku, M.D.

  • Family Medicine Physician
  • Carlsbad, NM
  • NPI 1619047610
  NPD (past)
• Amanda Bustamante Provencio, MD

  • Family Medicine Physician
  • Las Cruces, NM
  • NPI 1558855650
  NPD (past)
• Philip Walker, DO

  • Internal Medicine Physician
  • Holloman AFB, NM
  • NPI 1649512807
  NPD (past)

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Amanda Bustamante Provencio, MD

  • Family Medicine Physician
  • Las Cruces, NM
  • NPI 1558855650

  Nursing home

  Care Compare affiliation
• Philip Walker, DO

  • Internal Medicine Physician
  • Holloman AFB, NM
  • NPI 1649512807

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1579219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629936000000",
    "number": "1770113722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1402 W GILCHRIST AVE",
            "city": "ARTESIA",
            "state": "NM",
            "postal_code": "882101134",
            "telephone_number": "575-746-6006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1402 W GILCHRIST AVE",
            "city": "ARTESIA",
            "state": "NM",
            "postal_code": "882101134",
            "telephone_number": "575-746-6006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARTESIA HEALTHCARE & REHABILITATION CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-17",
        "last_updated": "2021-08-26",
        "certification_date": "2021-08-26",
        "status": "A",
        "authorized_official_last_name": "GOLDBLATT",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-522-4166"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Artesia General Hospital (Memorial Family Practice at Artesia General Hospital)
• Artesia General Hospital
• Artesia General Hospital (Memorial Family Practice at Artesia General Hospital)
• Artesia General Hospital
• Artesia Health Facilities LP (San Pedro Nursing and Rehabilitation Center)
• Artesia Physical Therapy LLC
• Artesia Public Schools
• Artesia Public Schools
• Asher Ultrasound Services, LLC
• Tracy Atkins, CPNP

• Skilled Nursing Facility in Artesia, NM
• Providers in Artesia, 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 26, 2021; 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.

Verify at the official NPI Registry.