Country Villa East Healthcare Center

LBN: Country Villa East L.P.
Country Villa East Healthcare Center is an health care organization with primary practice located at 2415 S Western Ave , Los Angeles CA 90018-2608. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Country Villa East L.P. can be contacted via phone (323) 734-1101, or through Reissman, Stephen E. via phone (310) 574-3733.

Contact Information

Primary practice address
2415 S Western Ave Los Angeles CA 90018-2608
Phone: (323) 734-1101
Fax: (323) 734-3872
Website:
Map and Directions
Authorized official contact:
Name: Reissman, Stephen E.
Phone: (310) 574-3733

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 970000018 California

Profile Details

NPI number 1043204324
LBN Legal business name Country Villa East L.P.
DBA Doing business as Country Villa East Healthcare Center
Authorized official Reissman, Stephen E.
Entity Organization
Organization subpart 1 No
Enumeration date Sep 1st, 2005
Last updated Sep 14th, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043204324 NPPES
California MEDICAID ZZT06114H

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