OrganizationActive
Coronado Care Center LLC
NPI 1225754955 · Skilled Nursing Facility · Portales, NM
Provider details
- NPI number
- 1225754955
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- David Garetz, Cfo(323) 987-5954
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Established profile(59/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 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
1604 W 18th St
Portales, NM 88130-7097
Phone: (575) 359-4719
Street-level locationGet directions
Mailing address
1604 W 18th St
Portales, NM 88130-7097
Other names (DBA / former)
- Doing business as
- Coronado Care Center
Registry dates
- Enumerated
- 2022-10-14
- Last updated
- 2022-10-14
- Certified
- 2022-10-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.