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:
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 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 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 1952395147 NPPES
California MEDICAID LTC90020G

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