Fiesta Park Healthcare LLC
NPI 1962787812ActiveOrganization· Skilled Nursing Facility· Albuquerque, NM
Skilled Nursing Facility in Albuquerque, New Mexico, registered in NPPES in October 2011. The authorized official on file is Robert Jeremy Martin, Ceo.
Overview
| NPI | 1962787812 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 11, 2011 |
| Last updated in NPPES | Dec 10, 2014 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Skilled Nursing Facility Primary | 314000000X | — | NM |
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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