803 Hacienda Lane Operations LLC
NPI 1134607690 · Skilled Nursing Facility · Bloomfield, NM
Enrolled with Medicare as Part a Provider - Skilled Nursing Facility · source: CMS PECOS Public Provider Enrollment (2026.04.01)
803 Hacienda Lane Operations LLC is a Skilled Nursing Facility organization in Bloomfield, NM (NPI 1134607690).
Provider details
- NPI number
- 1134607690
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Michael Berg, Assistant Secretary(610) 925-2254
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Bloomfield Nursing and Rehab
Registry dates
- Enumerated
- 2018-08-06
- Last updated
- 2018-08-06
Frequently asked questions
- What is 803 Hacienda Lane Operations LLC's NPI number?
- 803 Hacienda Lane Operations LLC's National Provider Identifier (NPI) is 1134607690, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is 803 Hacienda Lane Operations LLC?
- 803 Hacienda Lane Operations LLC is classified in the NPPES registry as Skilled Nursing Facility (Nursing & Custodial Care Facilities).
- Where is 803 Hacienda Lane Operations LLC located?
- 803 Hacienda Lane Operations LLC's practice location on file with NPPES is 803 Hacienda Ln, Bloomfield, NM 87413-5109.
- What is 803 Hacienda Lane Operations LLC's phone number?
- The practice phone number listed in the NPPES registry for 803 Hacienda Lane Operations LLC is (610) 925-2254.
- Does 803 Hacienda Lane Operations LLC accept Medicare?
- 803 Hacienda Lane Operations LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for 803 Hacienda Lane Operations LLC?
- The authorized official listed on 803 Hacienda Lane Operations LLC's NPPES record is Michael Berg, Assistant Secretary. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is 803 Hacienda Lane Operations LLC's NPI active?
- Yes — 803 Hacienda Lane Operations LLC's NPI (1134607690) is active in the NPPES registry as of the last update on 2018-08-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.