4210 Sabana Grande Avenue Se Opco, LLC
NPI 1114875259ActiveOrganization· Skilled Nursing Facility· Rio Rancho, NM
Skilled Nursing Facility in Rio Rancho, New Mexico, registered in NPPES in March 2026. The authorized official on file is Avrohom Tress, Executive Vice President.
Overview
| NPI | 1114875259 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 16, 2026 |
| Last updated in NPPES | Oct 20, 2026 |
| Certified by provider | Oct 20, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Skilled Nursing Facility Primary | 314000000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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