Skies Healthcare and Rehabilitation Center, LLC
Organization Active NPI Skilled Nursing Facility · Albuquerque, NM
NPI 1932391745 · NPPES record last updated Nov 8, 2017
Key facts
- NPI
- 1932391745
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- License
- 1067 (NM)
- Legal business name
- SKIES HEALTHCARE AND REHABILITATION CENTER, LLC
- Practice address
- 9150 McMahon Blvd NW
Albuquerque, NM 87114-5201 - Phone
- (505) 898-7986
- Fax
- (505) 898-0024
- NPI assigned
- Aug 15, 2007
- Organization subpart
- Yes
- Parent organization (as reported)
- SUMMIT CARE LLC
Authorized official
- Name
- Michael T. Berg
- Title
- Assistant Secretary
- Phone
- (505) 468-4752
Owners & managing parties with NPI records 1
-
Lisa S Noya, MD
Facilities with the same owner 177
Practitioners 2
-
Lisa S Noya, MD
-
Naveen Kumar Gummadi, M.D
Affiliated clinicians 2
-
Lisa S Noya, MD
-
Naveen Kumar Gummadi, M.D
Medicare Care Compare: Nursing home
- Listed as
- Skies Healthcare & Rehabilitation Center
- Overall star rating
- ★☆☆☆☆ 1 of 5
- Health inspections
- ★☆☆☆☆ 1 of 5
- Staffing
- ★☆☆☆☆ 1 of 5
- Quality measures
- ★★★★☆ 4 of 5
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Jun 1, 1992
- Medicare certification status
- Active
- Certified beds
- 120 · 111.3 residents per day on average
- Chain
- Genesis Healthcare
- Penalties (3 years)
- 1 · fines totaling $30,409
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 32D0535875 | Skies Healthcare and Rehabilitation Center | Certificate of waiver | Aug 31, 2026 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NM
Skilled nursing facility certification: CCN 325064
- Legal name
- SKIES HEALTHCARE AND REHABILITATION CENTER, LLC
- Doing business as
- SKIES HEALTHCARE AND REHABILITATION CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Jun 1, 1992
- Last certification
- Sep 9, 2024
- Beds
- 120
- Ownership / control type
- Limited Liability Corporation
- Multi-facility organization
- Genesis Healthcare Inc.
- Organization structure
- LLC · Proprietary
- Incorporated
- Jul 25, 2007 in DE
- Enrollment address
- 9150 McMahon Blvd NW
Albuquerque, NM 87114-5201 - Nursing home name
- SKIES HEALTHCARE & REHABILITATION CENTER
- Affiliated entity
- GENESIS HEALTHCARE
All disclosed owners & managing parties 21
| Name | Role | Since | Share |
|---|---|---|---|
| Summit Care LLC |
5% Or Greater Direct Ownership Interest | Jul 25, 2007 | 100% |
| Laura Bridgeford |
Corporate Officer |
Jun 1, 2024 | |
| |
Adp of the SNF | Mar 11, 2025 | |
| HCCF Management Group XI LLC |
5% Or Greater Indirect Ownership Interest | Feb 2, 2015 | 10.8% |
| Gen Operations I LLC |
5% Or Greater Indirect Ownership Interest | Feb 2, 2015 | 100% |
| Gen Operations II LLC |
5% Or Greater Indirect Ownership Interest | Feb 2, 2015 | 100% |
| FC-Gen Operations Investment LLC |
5% Or Greater Indirect Ownership Interest | Feb 2, 2015 | 100% |
| Summit Care Parent LLC |
5% Or Greater Indirect Ownership Interest | Jan 1, 2013 | 100% |
| Wendy Graves |
Operational/Managerial Control | Jun 1, 2024 | |
| Adp of the SNF | Mar 11, 2025 | ||
| Sundance Rehabilitation Holdco Inc |
5% Or Greater Indirect Ownership Interest | Nov 15, 2022 | 5.2% |
| Genesis Healthcare LLC |
5% Or Greater Indirect Ownership Interest | Feb 2, 2015 | 100% |
| Sun Healthcare Group Inc |
5% Or Greater Indirect Ownership Interest | Nov 15, 2022 | 65.3% |
| Welltower Op, LLC |
5% Or Greater Indirect Ownership Interest | Mar 1, 2024 | 5.7% |
| |
Adp of the SNF | Mar 11, 2025 | |
| Genesis Healthcare Inc |
5% Or Greater Indirect Ownership Interest | Nov 15, 2022 | 100% |
| Zac Properties XI LLC |
5% Or Greater Indirect Ownership Interest | Feb 2, 2015 | 8.48% |
| Avi Pinchas Mendelson |
Corporate Officer |
Jun 1, 2024 | |
| Michael T Berg |
Corporate Officer |
Feb 2, 2015 | |
| |
Adp of the SNF | Mar 11, 2025 | |
| Lisa S Noya |
Operational/Managerial Control | Jun 1, 2024 | |
| Adp of the SNF | Mar 11, 2025 | ||
| Skilled Healthcare LLC |
5% Or Greater Indirect Ownership Interest | Feb 2, 2015 | 100% |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070914000561 | NM | Part a Provider - Skilled Nursing Facility | 8921192477 | Practice locations: Albuquerque, NM |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 1067 | NM | Yes |
Addresses
Primary practice location
9150 McMahon Blvd NW
Albuquerque, NM 87114-5201
Mailing address
9150 McMahon Blvd NW
Albuquerque, NM 87114-5201
Phone (505) 898-7986
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 69930325 | Medicaid | NM |
Other names
- Skies Healthcare and Rehabilitation Center
Other providers in Albuquerque, NM
- George W Skarbek-Borowski
- Jordan Skeen-Bilger
- Michael Patrick Skehen
- Jenna Skelton
- Janice Skidmore
- Seth Daniel Skiles
- Madeline Skillman Dean
- Wylie Lynn Skillman
- Skills Sprouts ABA Corp
- Skin LLC
All providers in Albuquerque, NM · Skilled Nursing Facility in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 8, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.