803 Hacienda Lane Opco, LLC
NPI 1255288593 · Skilled Nursing Facility · Bloomfield, NM
803 Hacienda Lane Opco, LLC is a Skilled Nursing Facility organization in Bloomfield, NM (NPI 1255288593).
Provider details
- NPI number
- 1255288593
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Avrohom Tress, Executive Vice President(323) 928-9445
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
Under 1 yr in 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
Registry dates
- Enumerated
- 2026-03-16
- Last updated
- 2026-03-16
- Certified
- 2026-03-15
Frequently asked questions
- What is 803 Hacienda Lane Opco, LLC's NPI number?
- 803 Hacienda Lane Opco, LLC's National Provider Identifier (NPI) is 1255288593, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is 803 Hacienda Lane Opco, LLC?
- 803 Hacienda Lane Opco, LLC is classified in the NPPES registry as Skilled Nursing Facility (Nursing & Custodial Care Facilities).
- Where is 803 Hacienda Lane Opco, LLC located?
- 803 Hacienda Lane Opco, LLC's practice location on file with NPPES is 803 Hacienda Ln, Bloomfield, NM 87413-5109.
- What is 803 Hacienda Lane Opco, LLC's phone number?
- The practice phone number listed in the NPPES registry for 803 Hacienda Lane Opco, LLC is (323) 928-9445.
- Who is the authorized official for 803 Hacienda Lane Opco, LLC?
- The authorized official listed on 803 Hacienda Lane Opco, LLC's NPPES record is Avrohom Tress, Executive Vice President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is 803 Hacienda Lane Opco, LLC's NPI active?
- Yes — 803 Hacienda Lane Opco, LLC's NPI (1255288593) is active in the NPPES registry as of the last update on 2026-03-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.