5123 Juan Tabo Boulevard NE Opco, LLC
Skilled Nursing Facility in Albuquerque, New Mexico
1659228997- Practice location
- 5123 Juan Tabo Blvd NE, Albuquerque, NM 87111-2672
- Phone
- 323-928-9445
- Fax
- —
- Last updated
- October 20, 2026
5123 Juan Tabo Boulevard NE Opco, LLC is a healthcare organization based in Albuquerque, NM. 5123 Juan Tabo Boulevard NE Opco, LLC practices in Albuquerque, NM. The NPI Number for 5123 Juan Tabo Boulevard NE Opco, LLC is 1659228997. The current practice location address for 5123 Juan Tabo Boulevard NE Opco, LLC is 5123 Juan Tabo Blvd NE, Albuquerque, NM 87111-2672 and can be reached out via phone at 323-928-9445.
Provider Profile Details
- NPI Number
- 1659228997
- Provider Name
- 5123 Juan Tabo Boulevard NE Opco, LLC
- Provider Entity Type
- Organization
- Address
- 5123 Juan Tabo Blvd NE, Albuquerque, NM 87111-2672
- 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
- Bear Canyon 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
- 5123 Juan Tabo Blvd NE
Albuquerque, NM 87111-2672 - City
- Albuquerque
- State
- New Mexico
- Zip
- 87111-2672
- 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. | |||
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Frequently Asked Questions
What is the NPI number of 5123 Juan Tabo Boulevard NE Opco, LLC?
The NPI number of 5123 Juan Tabo Boulevard NE Opco, LLC is 1659228997. It was assigned on March 16, 2026 and is currently active in the NPPES registry.
What is the specialty of 5123 Juan Tabo Boulevard NE Opco, LLC?
5123 Juan Tabo Boulevard NE Opco, LLC is registered under the primary taxonomy Skilled Nursing Facility (code 314000000X).
Where does 5123 Juan Tabo Boulevard NE Opco, LLC practice?
The practice location is 5123 Juan Tabo Blvd NE, Albuquerque, NM 87111-2672. 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 1659228997 directly on the NPPES registry website.