Country Villa Wilshire Healthcare Center

LBN: Rrt Enterprises Lp
Country Villa Wilshire Healthcare Center is an health care organization with primary practice located at 855 N Fairfax Ave , Los Angeles CA 90046-7207. 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. Rrt Enterprises Lp can be contacted via phone (323) 653-1521, or through Reissman, Stephen E. via phone (310) 574-3733.

Contact Information

Primary practice address
855 N Fairfax Ave Los Angeles CA 90046-7207
Phone: (323) 653-1521
Fax: (323) 653-1349
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 910000149 California

Profile Details

NPI number 1578557526
LBN Legal business name Rrt Enterprises Lp
DBA Doing business as Country Villa Wilshire Healthcare Center
Authorized official Reissman, Stephen E.
Entity Organization
Organization subpart 1 No
Enumeration date Sep 6th, 2005
Last updated Oct 19th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578557526 NPPES
California MEDICAID ZZT05710J

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