803 Hacienda Lane Opco, LLC
Skilled Nursing Facility in Bloomfield, New Mexico
1255288593- Practice location
- 803 Hacienda Ln, Bloomfield, NM 87413-5109
- Phone
- 323-928-9445
- Fax
- —
- Last updated
- October 20, 2026
803 Hacienda Lane Opco, LLC is a healthcare organization based in Bloomfield, NM. 803 Hacienda Lane Opco, LLC practices in Bloomfield, NM. The NPI Number for 803 Hacienda Lane Opco, LLC is 1255288593. The current practice location address for 803 Hacienda Lane Opco, LLC is 803 Hacienda Ln, Bloomfield, NM 87413-5109 and can be reached out via phone at 323-928-9445.
Provider Profile Details
- NPI Number
- 1255288593
- Provider Name
- 803 Hacienda Lane Opco, LLC
- Provider Entity Type
- Organization
- Address
- 803 Hacienda Ln, Bloomfield, NM 87413-5109
- Phone Number
- 323-928-9445
- Primary Taxonomy
- Skilled Nursing Facility · 314000000X
- Organization Subpart
- No
- Authorized Official
- Avrohom Tress · Executive Vice President · 323-928-9445
- Other Names
- Bloomfield Nursing Post Acute (Doing Business As)
- Provider Enumeration Date
- March 16, 2026
- Last Update Date
- October 20, 2026
- Certification Date
- October 20, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 803 Hacienda Ln
Bloomfield, NM 87413-5109 - City
- Bloomfield
- State
- New Mexico
- Zip
- 87413-5109
- Phone Number
- 323-928-9445
Provider Business Mailing Address Details
- Address
- 9526 W Pico Blvd
Los Angeles, CA 90035-1202 - City
- Los Angeles
- State
- CA
- Zip
- 90035-1202
License Information
- Taxonomy
- Skilled Nursing Facility · 314000000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Skilled Nursing Facility providers near Bloomfield, NM
View all Skilled Nursing Facility providers in Bloomfield →Frequently Asked Questions
What is the NPI number of 803 Hacienda Lane Opco, LLC?
The NPI number of 803 Hacienda Lane Opco, LLC is 1255288593. It was assigned on March 16, 2026 and is currently active in the NPPES registry.
What is the specialty of 803 Hacienda Lane Opco, LLC?
803 Hacienda Lane Opco, LLC is registered under the primary taxonomy Skilled Nursing Facility (code 314000000X).
Where does 803 Hacienda Lane Opco, LLC practice?
The practice location is 803 Hacienda Ln, Bloomfield, NM 87413-5109. The office can be reached at 323-928-9445 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1255288593 directly on the NPPES registry website.