Active NPI
Luna Wellness & Rehabilitation LLC
- Skilled Nursing Facility
- Deming, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- LUNA WELLNESS & REHABILITATION LLC
- Practice address
- 900 W Ash St
Deming, NM 88030-4000 - Phone
- (248) 895-2633
- NPI assigned
- Feb 24, 2025
- Last updated
- Feb 24, 2025
- 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
- Ahron D. Katz
- Title
- Manager
- Phone
- (248) 895-2633
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | NU | Primary |
Addresses
Primary practice location
900 W Ash St
Deming, NM 88030-4000
Mailing address
950 S Cherry St Ste 716
Denver, CO 80246-2665
Phone (720) 696-5431
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250821002204 | NM | Part A Provider - Skilled Nursing Facility | 9931609203 | Practice locations: Deming, NM |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1871399394. Details of each certification follow.
Skilled nursing facility certification: CCN 325079
- Legal name
- LUNA WELLNESS & REHABILITATION LLC
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Apr 1, 1992
- Last certification
- Apr 7, 2025
- Beds
- 66
- Ownership / control type
- Limited Liability Corporation
- Most recent change of ownership
- Apr 1, 2025
- Organization structure
- LLC
- Enrollment address
- 900 W Ash St
Deming, NM 88030-4000 - Nursing home name
- LUNA WELLNESS REHABILITATION, LLC
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Luna Wellness Rehabilitation, LLC
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Apr 1, 1992
- Medicare certification status
- Active
- Certified beds
- 66
- Penalties (3 years)
- 5
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 |
|---|---|---|---|
| 32D2321812 | Luna Wellness and Rehabilitation | Certificate of waiver | Apr 9, 2027 |
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 5
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 |
|---|---|---|---|
| Carlos Yanez | Operational/Managerial Control | May 15, 2025 | |
| Adp of the SNF | May 15, 2025 | ||
| Luna Operations Holdings LLC | Direct Ownership Interest | Apr 1, 2025 | 100% |
| Blanca Peak LLC | Indirect Ownership Interest | Apr 1, 2025 | 100% |
| Ahron D Katz | Operational/Managerial Control | Apr 1, 2025 | |
| Indirect Ownership Interest | Apr 1, 2025 | 100% | |
| David Michael Greenberg | Operational/Managerial Control | Apr 1, 2025 | |
| Adp of the SNF | Apr 1, 2025 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Hospice and Palliative Medicine (Family Medicine) Physician
- Durango, CO
- NPI 1003896408
Adp of the SNF, Operational/Managerial 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, and the practitioner matching its NPPES authorized official.
-
- Hospice and Palliative Medicine (Family Medicine) Physician
- Durango, CO
- NPI 1003896408
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1740355200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1740355200000",
"number": "1871399394",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "950 S CHERRY ST STE 716",
"city": "DENVER",
"state": "CO",
"postal_code": "802462665",
"telephone_number": "720-696-5431"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 W ASH ST",
"city": "DEMING",
"state": "NM",
"postal_code": "880304000",
"telephone_number": "248-895-2633"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LUNA WELLNESS & REHABILITATION LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-02-24",
"last_updated": "2025-02-24",
"certification_date": "2025-02-24",
"status": "A",
"authorized_official_last_name": "KATZ",
"authorized_official_first_name": "AHRON",
"authorized_official_middle_name": "D.",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "248-895-2633"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Deming, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2025; 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.