La Vida Llena

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

5061 Issued in NM

Legal business name

LA VIDA LLENA

Practice address

10501 Lagrima de Oro Rd NE
Albuquerque, NM 87111-3737

Phone

(505) 296-6700

Fax

(505) 292-8843

NPI assigned

Jul 5, 2005

Last updated

Dec 11, 2025By 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

Konrad Van Baalen

Title

Executive Director

Phone

(505) 359-1978

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NM

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1972500957. Details of each certification follow.

• CCN 325035 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 325035

Legal name

LA VIDA LLENA

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Mar 28, 1983

Last certification

Sep 12, 2024

Beds

50

Ownership / control type

Other Nonprofit

Multi-facility organization

Pacific Retirement Services

Organization structure

CorporationNon-profit

Incorporated

Jul 6, 1979 in NM

Enrollment address

10701 Montgomery Blvd NE
La Vida Llena Lifecare Retirement Community
Albuquerque, NM 87111-3800

Listed as

La Vida LlenaCCN 325035 · All quality measures

Overall star rating

3 of 5

Health inspections

4 of 5

Staffing

3 of 5

Quality measures

1 of 5

Type

Medicare and Medicaid

Ownership

Non profit - Other

Certified

Mar 28, 1983

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

5847.0 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

Locations

All disclosed owners & managing parties 7

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

Facilities with the same owner 1

Facilities that share an organizational owner with 5% or greater ownership or operational control.

• The Neighborhood in Rio Rancho

  • Skilled Nursing Facility
  • Rio Rancho, NM
  • NPI 1609231448

  Haverland Carter Lifestyle Group Operating,LLC

  CMS ownership

Affiliated clinicians 5

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

• Sandra Elizabeth Allen, MD

  • Internal Medicine Physician
  • Socorro, NM
  • NPI 1639598824

  Nursing home

  Care Compare affiliation
• Lara Barkoff, MD

  • Internal Medicine Physician
  • Albuquerque, NM
  • NPI 1497714695

  Nursing home

  Care Compare affiliation
• Tamara Suzanne Hudson, MD

  • Family Medicine Physician
  • Bernalillo, NM
  • NPI 1003081928

  Nursing home

  Care Compare affiliation
• Brooke Kivitz, PA-C

  • Physician Assistant
  • Albuquerque, NM
  • NPI 1417100868

  Nursing home

  Care Compare affiliation
• Pamela L Phillips, FNP-C

  • Family Nurse Practitioner
  • Albuquerque, NM
  • NPI 1407518863

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1120521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765411200000",
    "number": "1972500957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10501 LAGRIMA DE ORO RD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871113737",
            "telephone_number": "505-923-4001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10501 LAGRIMA DE ORO RD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871113737",
            "telephone_number": "505-296-6700",
            "fax_number": "505-292-8843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LA VIDA LLENA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-05",
        "last_updated": "2025-12-11",
        "certification_date": "2025-12-11",
        "status": "A",
        "authorized_official_last_name": "VAN BAALEN",
        "authorized_official_first_name": "KONRAD",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "505-359-1978"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NM",
            "license": "5061",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000I0100",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• La Luz Therapy Services
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• La Paloma Clinic LLC
• Tina C La Turner, M.A. LPCC
• Johnathan La Ve
• La Vida Nueva Counseling
• My La
• Avra Sophia Saskia Laarakker, M.D, M.SC, B.ED
• Roquel Labatad, LCSW
• Amalia Labaze

• Skilled Nursing Facility in Albuquerque, NM
• Providers in Albuquerque, 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 Dec 11, 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.

Verify at the official NPI Registry.