803 HACIENDA LANE OPCO, LLC
NPI 1255288593
Skilled Nursing Facility in Bloomfield, NM
About 803 Hacienda Lane Opco, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
803 HACIENDA LANE OPCO, LLC (NPI 1255288593) is a healthcare organization registered as a skilled nursing facility in Bloomfield, New Mexico and active in the NPI registry since March 2026. The organization lists Avrohom Tress, Executive Vice President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Providers at the Same Location NPPES 10
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BLOOMFIELD, NM 87413
BLOOMFIELD, NM 87413
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 803 Hacienda Lane Opco, LLC's NPI number?
The NPI number for 803 Hacienda Lane Opco, LLC is 1255288593. It was assigned to this organization in the NPPES registry on March 16, 2026.
Where is 803 Hacienda Lane Opco, LLC located?
803 Hacienda Lane Opco, LLC is located at 803 Hacienda Ln, Bloomfield, NM 87413. The listed phone number is (323) 928-9445.
What is 803 Hacienda Lane Opco, LLC's specialty?
The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.
When was this NPI record last updated?
The NPPES record for 803 Hacienda Lane Opco, LLC was last updated on March 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.