# SILVERSTONE HEALTHCARE OF BLOOMFIELD, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Bloomfield Nursing & Rehab
- **Organization subpart:** No

## Provider details

- **NPI number:** 1457306730
- **Authorized official:** WILLIAM A. MATHIES (PRESIDENT/DIRECTOR)
- **Authorized official phone:** (505) 821-3355

## Contact information

- **Practice address:** 803 HACIENDA LN, BLOOMFIELD, NM 87413-5109
- **Practice address phone:** (505) 632-1823
- **Practice address fax:** (505) 632-4572
- **Mailing address:** 101 SUN AVE NE, ALBUQUERQUE, NM 87109-4373
- **Mailing address phone:** (505) 821-3355
- **Mailing address fax:** (505) 468-4681

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 1036 | NM | Yes |

## Other

- **Enumeration date:** 05/24/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 35121301 | — | NM |