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:
Health care specialties
| Specialty | Code | License # | 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 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1578557526 | NPPES |
| California | MEDICAID | ZZT05710J |
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