Healthcare Center Of Bella Vista

LBN: Country Villa Imperial, Llc
Healthcare Center Of Bella Vista is an health care organization with primary practice located at 933 E Deodar St , Ontario CA 91764-1309. 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 Imperial, Llc can be contacted via phone (909) 985-2731, or through Reissman, Stephen via phone (310) 574-3733.

Contact Information

Primary practice address
933 E Deodar St Ontario CA 91764-1309
Phone: (909) 985-2731
Fax: (909) 985-1414
Website:
Map and Directions
Authorized official contact:
Name: Reissman, Stephen
Phone: (310) 574-3733

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 240000113 California

Profile Details

NPI number 1699018739
LBN Legal business name Country Villa Imperial, Llc
DBA Doing business as Healthcare Center Of Bella Vista
Authorized official Reissman, Stephen
Entity Organization
Organization subpart 1 No
Enumeration date Mar 27th, 2013
Last updated Apr 30th, 2013 - about 11 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 1699018739 NPPES
California MEDICAID ZZT05693I

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