Coronado Care Center LLC
NPI 1225754955ActiveOrganization· Skilled Nursing Facility· Portales, NM
Skilled Nursing Facility in Portales, New Mexico, registered in NPPES in October 2022. The authorized official on file is David Garetz, Cfo. Enrolled in Medicare as part a provider - skilled nursing facility.
Overview
| NPI | 1225754955 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 14, 2022 |
| Last updated in NPPES | Oct 14, 2022 |
| Certified by provider | Oct 14, 2022 |
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) | Enrolled Part A Provider - Skilled Nursing Facility (NM) |
|---|
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