NPI
803 Hacienda Lane Operations LLC
Doing business as Bloomfield Nursing and Rehab. Phone (610) 925-2254 · NPI 1134607690
Read from the NPPES registry on October 24, 2026.
Facts
- Status
- Active
- Type
- Organization
- Enumeration date
- 2018-08-06
- Last updated
- 2018-08-06
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Specialties
Licenses
- License NM
- Number not in the file
Location
- Practice location
- 803 Hacienda Ln
- City
- Bloomfield NM
- Postal code
- 87413-5109
- Phone
- (610) 925-2254
Organization contact
- Name
- Michael Berg
- Title
- Assistant Secretary
- Phone
- (610) 925-2254
Medicare
- PECOS
- A PECOS enrollment row matches this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Skilled Nursing Facility providers in Bloomfield, NM. 5 with this primary taxonomy in the public file.
Other NPIs in Bloomfield, NM. 136 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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