Country Villa Pavilion Healthcare Center

LBN: Country Villa East, L.P.
Country Villa Pavilion Healthcare Center is an health care organization with primary practice located at 5916 W Pico Blvd , Los Angeles CA 90035-2695. 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) 939-3184, or through Reissman, Stephen E. via phone (310) 574-3733.

Contact Information

Primary practice address
5916 W Pico Blvd Los Angeles CA 90035-2695
Phone: (323) 939-3184
Fax: (323) 939-1966
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 910000145 California

Profile Details

NPI number 1568456739
LBN Legal business name Country Villa East, L.P.
DBA Doing business as Country Villa Pavilion Healthcare Center
Authorized official Reissman, Stephen E.
Entity Organization
Organization subpart 1 No
Enumeration date Sep 2nd, 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 1568456739 NPPES
California MEDICAID ZZT05160G

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