Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

803 Hacienda Lane Operations LLC

Organization Skilled Nursing Facility · NPI 1134607690

803 Hacienda Lane Operations LLC is a Skilled Nursing Facility in Bloomfield, New Mexico. Licensed in New Mexico. Registered with an NPI since 2018.

Licensed in
NM
In the registry since
2018
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

803 Hacienda Ln
Bloomfield, NM 87413-5109
Phone: (610) 925-2254
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Skilled Nursing Facility (primary) Taxonomy 314000000X (NM)

Record details

NPI number1134607690
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Berg — Assistant Secretary · (610) 925-2254
Other names Bloomfield Nursing And Rehab
NPI enumeratedAugust 6, 2018
Last updated in NPPESAugust 6, 2018
Mailing address101 E State St, Kennett Square, PA 19348-3109

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