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NPI Code Detail

MEDICARE: NORTHRISE WELLNESS & REHABILITATION LLC

MEDICARE: NORTHRISE WELLNESS & REHABILITATION LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1310400000XAssisted Living Facility

General Provider Information

NPI Number : 1841152204
Entity Type Code : Organization
Provider Name (Legal Business Name) : NORTHRISE WELLNESS & REHABILITATION LLC
Provider Business Mailing Address
First Line : 2884 N ROADRUNNER PKWY
Second Line :
City : LAS CRUCES
State : NM
Zip : 88011-0853
Country : US
Telephone Number : 575-522-1110
Fax Number :
Provider Business Practice Location Address
First Line : 2884 N ROADRUNNER PKWY
Second Line :
City : LAS CRUCES
State : NM
Zip : 88011-0853
Country : US
Telephone Number : 575-522-1110
Fax Number :
Authorized Official
Title or Position : CFO
Name : DAVID GARETZ
Credential :
Telephone Number : 213-395-1848
Provider Enumeration Date : 11/24/2025
Last Update Date : 11/24/2025

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Directions to “NORTHRISE WELLNESS & REHABILITATION LLC ” Practice Location

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