Active NPI
3514 Fowler Avenue Operations LLC
- Skilled Nursing Facility
- Silver City, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- 3514 FOWLER AVENUE OPERATIONS LLC
- Practice address
- 3514 N Fowler Ave
Silver City, NM 88061-7210 - Phone
- (575) 388-3127
- NPI assigned
- Aug 9, 2018
- 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
- Michael Berg
- Title
- Assistant Secretary
- Phone
- (505) 468-4742
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
3514 N Fowler Ave
Silver City, NM 88061-7210
Mailing address
101 E State St
Kennett Square, PA 19348-3109
Phone (610) 925-2254
Other names 1
- Silver City Care Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20181023001762 | NM | Part A Provider - Skilled Nursing Facility | 6901159813 | Practice locations: Silver City, NM |
Skilled nursing facility certification: CCN 325091
- Legal name
- 3514 FOWLER AVENUE OPERATIONS LLC
- Doing business as
- SILVER CITY CARE CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Feb 1, 1994
- Last certification
- Sep 19, 2024
- Beds
- 100
- Ownership / control type
- Corporation
- Multi-facility organization
- GENESIS
- Organization structure
- LLC
- Incorporated
- Jul 19, 2018 in NM
- Enrollment address
- 3514 N Fowler Ave
Silver City, NM 88061-7210 - Nursing home name
- SILVER CITY CARE CENTER
- Affiliated entity
- GENESIS HEALTHCARE
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Silver City Care Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Feb 1, 1994
- Medicare certification status
- Active
- Certified beds
- 100
- Chain
- Genesis Healthcare
- Penalties (3 years)
- 2
National Provider Directory
National Provider DirectoryLocations
3514 N Fowler Ave
Silver City, NM 88061
Phone (505) 388-3127
Ownership & related parties
All disclosed owners & managing parties 21
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 |
|---|---|---|---|
| Genesis Omg Operations LLC | 5% Or Greater Direct Ownership Interest | Nov 1, 2018 | 100% |
| Laura Bridgeford | Corporate Officer | Jun 1, 2024 | |
| HCCF Management Group XI LLC | 5% Or Greater Indirect Ownership Interest | Nov 1, 2018 | 21% |
| Gen Operations I LLC | 5% Or Greater Indirect Ownership Interest | Nov 1, 2018 | 100% |
| Gen Operations II LLC | 5% Or Greater Indirect Ownership Interest | Nov 1, 2018 | 100% |
| Diane Louise Morris | Operational/Managerial Control | Nov 1, 2023 | |
| Adp of the SNF | Feb 1, 2025 | ||
| FC-Gen Operations Investment LLC | 5% Or Greater Indirect Ownership Interest | Nov 1, 2018 | 100% |
| Adp of the SNF | Feb 1, 2025 | ||
| Lisa Stolarczyk | Operational/Managerial Control | Jun 1, 2024 | |
| Adp of the SNF | Feb 1, 2025 | ||
| Sundance Rehabilitation Holdco Inc | 5% Or Greater Indirect Ownership Interest | Nov 1, 2018 | 100% |
| Genesis Healthcare LLC | 5% Or Greater Indirect Ownership Interest | Nov 1, 2018 | 100% |
| Sun Healthcare Group Inc | 5% Or Greater Indirect Ownership Interest | Nov 1, 2018 | 100% |
| Welltower Op, LLC | 5% Or Greater Indirect Ownership Interest | Jun 1, 2024 | 5.7% |
| Genesis Healthcare Inc | 5% Or Greater Indirect Ownership Interest | Nov 1, 2018 | 100% |
| Zac Properties XI LLC | 5% Or Greater Indirect Ownership Interest | Nov 1, 2018 | 12% |
| Avi Pinchas Mendelson | Corporate Officer | Jun 1, 2024 | |
| Michael T Berg | Corporate Officer | Nov 1, 2018 | |
| Rebecca Singleton | Operational/Managerial Control | Jun 1, 2024 | |
| Adp of the SNF | Feb 1, 2025 | ||
| GHC Holdings LLC | 5% Or Greater Indirect Ownership Interest | Nov 1, 2018 | 100% |
| Genesis Holdings LLC | 5% Or Greater Indirect Ownership Interest | Nov 1, 2018 | 100% |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Family Medicine Physician
- Albuquerque, NM
- NPI 1497930176
Adp of the SNF, Operational/Managerial Control
Facilities with the same owner 178
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- Skilled Nursing Facility
- Santa Fe, NM
- NPI 1629556188
FC-Gen Operations Investment LLC, Gen Operations I LLC, Gen Operations II LLC, Genesis Healthcare Inc, Genesis Healthcare LLC, Genesis Holdings LLC, Genesis Omg Operations LLC, GHC Holdings LLC, HCCF Management Group XI LLC, Sun Healthcare Group
-
- Skilled Nursing Facility
- Gallup, NM
- NPI 1356820419
FC-Gen Operations Investment LLC, Gen Operations I LLC, Gen Operations II LLC, Genesis Healthcare Inc, Genesis Healthcare LLC, Genesis Holdings LLC, Genesis Omg Operations LLC, GHC Holdings LLC, HCCF Management Group XI LLC, Sun Healthcare Group
-
- Skilled Nursing Facility
- Clayton, NM
- NPI 1730668880
FC-Gen Operations Investment LLC, Gen Operations I LLC, Gen Operations II LLC, Genesis Healthcare Inc, Genesis Holdings LLC, Genesis Omg Operations LLC, GHC Holdings LLC, HCCF Management Group XI LLC, Sun Healthcare Group Inc, Sundance Rehabilita
-
- Skilled Nursing Facility
- Bloomfield, NM
- NPI 1134607690
FC-Gen Operations Investment LLC, Gen Operations I LLC, Gen Operations II LLC, Genesis Healthcare Inc, Genesis Healthcare LLC, Genesis Holdings LLC, Genesis Omg Operations LLC, GHC Holdings LLC, HCCF Management Group XI LLC, Sun Healthcare Group
-
- Skilled Nursing Facility
- Albuquerque, NM
- NPI 1629260781
FC-Gen Operations Investment LLC, Gen Operations I LLC, Gen Operations II LLC, Genesis Healthcare Inc, Genesis Healthcare LLC, HCCF Management Group XI LLC, Sun Healthcare Group Inc, Sundance Rehabilitation Holdco Inc, Welltower Op, LLC, Zac Prop
-
- Skilled Nursing Facility
- Belen, NM
- NPI 1528250685
FC-Gen Operations Investment LLC, Gen Operations I LLC, Gen Operations II LLC, Genesis Healthcare Inc, Genesis Healthcare LLC, HCCF Management Group XI LLC, Sun Healthcare Group Inc, Sundance Rehabilitation Holdco Inc, Zac Properties XI LLC
-
- Home Health Agency
- Albuquerque, NM
- NPI 1184665044
Genesis Healthcare Inc
-
- Skilled Nursing Facility
- Albuquerque, NM
- NPI 1326230483
FC-Gen Operations Investment LLC, Gen Operations I LLC, Gen Operations II LLC, Genesis Healthcare Inc, Genesis Healthcare LLC, HCCF Management Group XI LLC, Sun Healthcare Group Inc, Sundance Rehabilitation Holdco Inc, Welltower Op, LLC, Zac Prop
-
- Skilled Nursing Facility
- Clovis, NM
- NPI 1225220387
FC-Gen Operations Investment LLC, Gen Operations I LLC, Gen Operations II LLC, Genesis Healthcare Inc, Genesis Healthcare LLC, HCCF Management Group XI LLC, Sun Healthcare Group Inc, Sundance Rehabilitation Holdco Inc, Welltower Op, LLC, Zac Prop
-
- Skilled Nursing Facility
- Las Cruces, NM
- NPI 1295780146
FC-Gen Operations Investment LLC, Gen Operations I LLC, Gen Operations II LLC, Genesis Healthcare Inc, Genesis Healthcare LLC, Genesis Holdings LLC, HCCF Management Group XI LLC, Sun Healthcare Group Inc, Sundance Rehabilitation Holdco Inc, Wellt
-
- Skilled Nursing Facility
- Las Cruces, NM
- NPI 1164476008
FC-Gen Operations Investment LLC, Gen Operations I LLC, Gen Operations II LLC, Genesis Healthcare Inc, Genesis Healthcare LLC, Genesis Holdings LLC, HCCF Management Group XI LLC, Sun Healthcare Group Inc, Sundance Rehabilitation Holdco Inc, Wellt
-
- Skilled Nursing Facility
- Rio Rancho, NM
- NPI 1659325504
FC-Gen Operations Investment LLC, Gen Operations I LLC, Gen Operations II LLC, Genesis Healthcare Inc, Genesis Healthcare LLC, Genesis Holdings LLC, HCCF Management Group XI LLC, Sun Healthcare Group Inc, Sundance Rehabilitation Holdco Inc, Wellt
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Albuquerque, NM
- NPI 1497930176
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": "1533772800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1533772800000",
"number": "1992284053",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 E STATE ST",
"city": "KENNETT SQUARE",
"state": "PA",
"postal_code": "193483109",
"telephone_number": "610-925-2254"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3514 N FOWLER AVE",
"city": "SILVER CITY",
"state": "NM",
"postal_code": "880617210",
"telephone_number": "575-388-3127"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "3514 FOWLER AVENUE OPERATIONS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-08-09",
"last_updated": "2018-08-09",
"status": "A",
"authorized_official_last_name": "BERG",
"authorized_official_first_name": "MICHAEL",
"authorized_official_title_or_position": "ASSISTANT SECRETARY",
"authorized_official_telephone_number": "505-468-4742"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Silver City Care Center",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Silver City, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2018; 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.