Active NPI
La Vida Buena Healthcare LLC
- Skilled Nursing Facility
- Las Vegas, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- LA VIDA BUENA HEALTHCARE LLC
- Practice address
- 2301 Collins Dr
Las Vegas, NM 87701-4826 - Phone
- (505) 425-9362
- Fax
- (505) 425-8518
- NPI assigned
- Apr 20, 2023
- Last updated
- Apr 24, 2023
- 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
- David Garetz
- Title
- Cfo
- Phone
- (323) 987-5954
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | NU | Primary |
Addresses
Primary practice location
2301 Collins Dr
Las Vegas, NM 87701-4826
Mailing address
2301 Collins Dr
Las Vegas, NM 87701-4826
Phone (505) 425-9362
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20231013002481 | NM | Part A Provider - Skilled Nursing Facility | 5294180071 | Practice locations: Las Vegas, NM |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1891482683. Details of each certification follow.
Skilled nursing facility certification: CCN 325065
- Legal name
- LA VIDA BUENA HEALTHCARE LLC
- Doing business as
- LA VIDA BUENA HEALTHCARE
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Mar 1, 1992
- Last certification
- Jun 21, 2024
- Beds
- 102
- Ownership / control type
- Limited Liability Corporation
- Multi-facility organization
- OPCO
- Most recent change of ownership
- Jul 1, 2023
- Organization structure
- LLC
- Enrollment address
- 2301 Collins Dr
Las Vegas, NM 87701-4826 - Nursing home name
- LA VIDA BUENA HEALTHCARE
- Affiliated entity
- OPCO SKILLED MANAGEMENT
Care Compare: Nursing home
Medicare Care Compare- Listed as
- La Vida Buena Healthcare
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Mar 1, 1992
- Medicare certification status
- Active
- Certified beds
- 102
- Chain
- Opco Skilled Management
- Penalties (3 years)
- 7
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 |
|---|---|---|---|
| 32D0536855 | La Vida Buena Healthcare | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 16
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 |
|---|---|---|---|
| Continuum Rehab Group LLC | Adp of the SNF | Jun 22, 2023 | |
| Kristin Zemmin | Adp of the SNF | Jan 16, 2025 | |
| Hansen Hunter LLC | Adp of the SNF | Jul 18, 2025 | |
| Millennial Acquisitions, LLC | Adp of the SNF | Jun 22, 2023 | |
| Opco NM Skilled MGMT, LLC | Adp of the SNF | Jun 22, 2023 | |
| Opco Ca Skilled MGMT Inc. | Adp of the SNF | Jun 22, 2023 | |
| Sasem Investments LLC | Indirect Ownership Interest | Jun 22, 2023 | 2.5% |
| Rimpau Holdings Trust | Indirect Ownership Interest | Jun 22, 2023 | 26.81% |
| Crestview Trust | Indirect Ownership Interest | Jun 22, 2023 | 70.69% |
| 2301 Collins Drive NM, LLC | Adp of the SNF | Jun 22, 2023 | |
| The Wright Group Consulting, LLC | Adp of the SNF | Apr 1, 2024 | |
| Gibraltar Trust | Adp of the SNF | Jun 22, 2023 | |
| David Garetz | Corporate Officer | Jul 1, 2023 | |
| Operational/Managerial Control | Jun 22, 2023 | ||
| New Mexico Propco Investments, LLC | Adp of the SNF | Jun 22, 2023 | |
| David Michael Greenberg | Adp of the SNF | Aug 23, 2024 | |
| Meadows Healthcare LLC | Operational/Managerial Control | Apr 17, 2023 | |
| Direct Ownership Interest | Apr 17, 2023 | 100% |
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
Practitioners & affiliated clinicians
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.
-
- Internal Medicine Physician
- Las Vegas, NM
- NPI 1003973397
-
- Family Medicine Physician
- Albuquerque, NM
- NPI 1497930176
-
- Hospice and Palliative Medicine (Family Medicine) Physician
- Durango, CO
- NPI 1003896408
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": "1681948800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1682294400000",
"number": "1891482683",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2301 COLLINS DR",
"city": "LAS VEGAS",
"state": "NM",
"postal_code": "877014826",
"telephone_number": "505-425-9362",
"fax_number": "505-425-8518"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2301 COLLINS DR",
"city": "LAS VEGAS",
"state": "NM",
"postal_code": "877014826",
"telephone_number": "505-425-9362",
"fax_number": "505-425-8518"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LA VIDA BUENA HEALTHCARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-04-20",
"last_updated": "2023-04-24",
"certification_date": "2023-04-24",
"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": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Las Vegas, NM
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- Taylor Kuiper, CHW
- James Kuzava, LISW
- Louise M La Plante, LISW
- Joann Laferrier, LPCC
- Las Vegas Bodyworks LLC
- Las Vegas City Schools
- Las Vegas Clinic for Children & Youth
- Las Vegas Foot Specialist, Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2023; 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.