# LOS ALAMOS RETIREMENT CENTER, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Sombrillo Nursing Facility
- **Organization subpart:** No

## Provider details

- **NPI number:** 1730117722
- **Authorized official:** ROBERT JEREMY MARTIN (PRESIDENT, HERITAGE MANAGEMENT)
- **Authorized official phone:** (505) 468-0219

## Contact information

- **Practice address:** 1011 SOMBRILLO CT, LOS ALAMOS, NM 87544-3246
- **Practice address phone:** (505) 662-4300
- **Practice address fax:** (505) 662-2630
- **Mailing address:** 1011 SOMBRILLO CT, LOS ALAMOS, NM 87544-3246
- **Mailing address phone:** (505) 662-4300
- **Mailing address fax:** (505) 662-2630

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 313M00000X | Nursing Facility/Intermediate Care Facility | 5180 | NM | — |
| 314000000X | Skilled Nursing Facility | 5180 | NM | Yes |

## Other

- **Enumeration date:** 06/29/2006
- **Last updated:** 01/19/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | I0571 | — | NM |