Healthcare Provider Details

I. General information

NPI: 1255387734
Provider Name (Legal Business Name): SILVERSTONE HEALTHCARE OF SANTA FE II, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/26/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1650 GALISTEO ST
SANTA FE NM
87508
US

IV. Provider business mailing address

101 SUN AVE NE
ALBUQUERQUE NM
87109-4373
US

V. Phone/Fax

Practice location:
  • Phone: 505-984-8313
  • Fax: 505-984-2542
Mailing address:
  • Phone: 505-468-5604
  • Fax: 505-468-4681

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number1026
License Number StateNM
# 2
Primary TaxonomyY
Taxonomy Code311500000X
TaxonomyAlzheimer Center (Dementia Center)
License Number1026
License Number StateNM

VIII. Authorized Official

Name: WILLIAM A. MATHIES
Title or Position: PRESIDENT/DIRECTOR
Credential:
Phone: 505-821-3355