Healthcare Provider Details

I. General information

NPI: 1710683446
Provider Name (Legal Business Name): FARMINGTON OPERATIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/03/2023
Last Update Date: 02/03/2023
Certification Date: 02/03/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 SAGUARO TRL
FARMINGTON NM
87401-9632
US

IV. Provider business mailing address

950 S CHERRY ST STE 716
DENVER CO
80246-2665
US

V. Phone/Fax

Practice location:
  • Phone: 505-598-6000
  • Fax:
Mailing address:
  • Phone: 347-838-0053
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: AHRON KATZ
Title or Position: CEO
Credential:
Phone: 248-895-2633