CORONADO CARE CENTER LLC
NPI 1225754955
Skilled Nursing Facility in Portales, NM

Active since October 14, 2022CLIA 32D0968374 · Waiver
3/5
Overall Rating
1604 W 18TH ST, PORTALES, NM 88130(575) 359-4719 Get Directions Write a Review

NPPES record last updated: October 14, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Coronado Care Center Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CORONADO CARE CENTER LLC (NPI 1225754955), doing business as Coronado Care Center, is a healthcare organization registered as a skilled nursing facility in Portales, New Mexico and active in the NPI registry since October 2022. The organization holds a CLIA Waiver certificate valid through December 8, 2027 and lists David Garetz, Cfo, as its authorized official.

NPPES Registry Identity

NPI1225754955
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameCORONADO CARE CENTER LLC
Location Address1604 W 18TH STPortales, NM 88130-7097
Mailing Address1604 W 18th StPortales, NM 88130-7097 · (575) 359-4719
Organization SubpartNo
Authorized OfficialDavid GaretzCfo · (323) 987-5954
Enumeration DateOctober 14, 2022
NPPES CertifiedOctober 14, 2022
NPI 1225754955 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
1604 W 18TH ST, Portales, NM 88130

Other Names 1

Doing Business AsCoronado Care Center

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 32D0968374

Coronado Care Center · Portales, NM
Active · expires Dec 8, 2027
CLIA Number32D0968374
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateDecember 9, 2025
Certificate Expiration DateDecember 8, 2027
Laboratory DirectorRanelle Tweedy
Laboratory Phone(575) 359-4719
Laboratory LocationCoronado Care Center1604 W 18th St, Portales, NM 88130
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Nursing Home Quality Ratings CMS Care Compare

Quality ratings, staffing and inspection history for Coronado Care Center (CMS certification number 325114), from CMS Care Compare.

Coronado Care Center

Nursing home · Portales, NM
3/5 CMS Overall Rating
OwnershipFor profit - Limited Liability company
CMS Certification Number325114
Certified Beds80 beds69 residents per day on average
Medicare & Medicaid Participant SinceOctober 29, 2003
Resident & Family CouncilResident council
Automatic sprinkler system

CMS Star Ratings

Quality Measures
Based on a select set of clinical quality measures.
3/5
Long-Stay Quality
Quality of care delivered to long-term residents.
5/5
Short-Stay Quality
Quality of care delivered to short-term and rehabilitation residents.
1/5
Staffing
Based on nursing staff hours relative to resident needs.
1/5
Weighted Health Inspection Score
Lower scores are better; the score summarizes deficiencies found on recent inspections.
99.17
Ratings are assigned by CMS on a one-to-five star scale; five is the highest. Categories without a current CMS rating are not shown.

Staffing & Turnover

Total Nurse Staffing
nurse aide 2.06 · LPN 0.49 · RN 0.51
3.05 hrs per resident per day
Weekend Nurse Staffing
2.67 hrs per resident per day
Physical Therapist Staffing
0.1 hrs per resident per day
Nursing Staff Turnover
Share of nursing staff who left the facility within the past year.
49.2%
Registered Nurse Turnover
30%
Higher staffing hours generally allow more direct care time per resident.

Inspections & Enforcement

Facility-Reported Incidents
0
Substantiated Complaints
2
Fines
1 totaling $3,250.00
Medicare Payment Denials
0
Total Penalties
1
Counts come from CMS inspections and complaint investigations over approximately the past three years. CMS Care Compare data as of October 1, 2024.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Skilled Nursing Facility
1604 W 18TH ST
PORTALES, NM 88130
Physical Therapy Assistant
1604 W 18TH ST
PORTALES, NM 88130
Speech-Language Pathologist
1604 W 18TH ST
PORTALES, NM 88130
Skilled Nursing Facility
1604 W 18TH ST
PORTALES, NM 88130
Physical Therapy Assistant
1604 W 18TH ST
PORTALES, NM 88130
Physical Therapist
1604 W 18TH ST
PORTALES, NM 88130

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Coronado Care Center LLC's NPI number?

The NPI number for Coronado Care Center LLC is 1225754955. It was assigned to this organization in the NPPES registry on October 14, 2022. The provider is doing business as Coronado Care Center.

Where is Coronado Care Center LLC located?

Coronado Care Center LLC is located at 1604 W 18th St, Portales, NM 88130. The listed phone number is (575) 359-4719.

What is Coronado Care Center LLC's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Does Coronado Care Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 32D0968374) is associated with this NPI, valid through December 8, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Coronado Care Center LLC a Medicare-certified nursing home?

Yes. Coronado Care Center is a Medicare-certified nursing home with 80 certified beds.

What quality rating does Coronado Care Center LLC have?

CMS rates Coronado Care Center 3 out of 5 stars overall on Care Compare. The full measure detail is in the Nursing Home Quality Ratings section above.

What insurance does Coronado Care Center LLC accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Superior HealthPlan and Ambetter of Oklahoma list Coronado Care Center LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Coronado Care Center LLC was last updated on October 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.