# SILVERSTONE HEALTHCARE OF ESPANOLA VALLEY, LLC

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

## Provider details

- **NPI number:** 1639125669
- **Authorized official:** WILLIAM A. MATHIES (PRESIDENT/DIRECTOR)
- **Authorized official phone:** (505) 821-3355

## Contact information

- **Practice address:** 720 E HACIENDA ST, ESPANOLA, NM 87532-2523
- **Practice address phone:** (505) 753-6769
- **Practice address fax:** (505) 747-1589
- **Mailing address:** 101 SUN AVE NE, ALBUQUERQUE, NM 87109-4373
- **Mailing address phone:** (505) 468-5604
- **Mailing address fax:** (505) 468-4681

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 1028 | NM | Yes |

## Other

- **Enumeration date:** 05/25/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 16374223 | — | NM |