Country Villa Rehabilitation Center
LBN: Country Villa Nursing Center, Inc.
Country Villa Rehabilitation Center is an health care organization with primary practice located at 340 S Alvarado St , Los Angeles CA 90057-2915. 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 Nursing Center, Inc. can be contacted via phone (213) 484-9730, or through Reissman, Stephen E. via phone (310) 574-3733.
Contact Information
Primary practice address
340 S Alvarado St
Los Angeles CA 90057-2915
Phone: (213) 484-9730
Fax: (213) 484-9507
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing & Custodial Care Facilities / Skilled Nursing Facility | 314000000X | 970000068 | California |
Profile Details
| NPI number | 1952395147 |
|---|---|
| LBN Legal business name | Country Villa Nursing Center, Inc. |
| DBA Doing business as | Country Villa Rehabilitation Center |
| Authorized official | Reissman, Stephen E. |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 2nd, 2005 |
| Last updated | May 2nd, 2022 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1952395147 | NPPES |
| California | MEDICAID | LTC90020G |
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