803 Hacienda Lane Opco, LLC
NPI 1255288593ActiveOrganization· Skilled Nursing Facility· Bloomfield, NM
Skilled Nursing Facility in Bloomfield, New Mexico, registered in NPPES in March 2026. The authorized official on file is Avrohom Tress, Executive Vice President.
Overview
| NPI | 1255288593 |
|---|---|
| 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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