Country Villa East L.P. in Los Angeles - Skilled Nursing Facility
Country Villa East L.P. - NPI 1043204324
Country Villa East L.P. is a Skilled Nursing Facility in Los Angeles, California. Country Villa East L.P. practices all healthcare services and medical treatments related to Skilled Nursing Facility. The NPI Number for Country Villa East L.P. is 1043204324. The last update date is 2022-09-14.
Country Villa East L.P.'s current location address is 2415 S Western Ave, Los Angeles, California. You can contact this provider via phone number 3237341101 and fax number 3237343872. The mailing address for Country Villa East L.P. is 2415 S Western Ave, Los Angeles, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Country Villa East L.P. |
|---|---|
| Address | 2415 S Western Ave, Los Angeles, California |
| Phone Number | 3237341101 |
| Fax Number | 3237343872 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MANAGING M |
|---|---|
| Authorized Official Name | Reissman E. Stephen |
| Telephone Number | 3105743733 |
NPI Number Detail
| NPI Number | 1043204324 |
|---|---|
| Provider Enumeration Date | 2005-09-01 |
| Last Updated Date | 2022-09-14 |
Provider Mailing Address Detail
| Address | 2415 S Western Ave |
|---|---|
| City | Los Angeles |
| State | California (CA) |
| Post Code | 900182608 |
| Phone Number | 3237341101 |
| Fax Number | 3237343872 |
Provider's Primary Taxonomy Detail
| Speciality | Skilled Nursing Facility |
|---|---|
| Taxonomy | 314000000X |
| Licence No | 970000018 |
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Definition: (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring serv |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| ZZT06114H | CA | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Country Villa East L.P. by the Centers for Medicare & Medicaid Services?
The Country Villa East L.P. has been issued the NPI (National Provider Identifier) 1043204324. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Country Villa East L.P. is physically located?
The Country Villa East L.P. is physically situated at the following address: 2415 S Western Ave, Los Angeles, CA, 900182608.
What is Country Villa East L.P.'s specialized field of practice, and what is the corresponding taxonomy classification code?
The Country Villa East L.P.'s area of specialization is Skilled Nursing Facility, and the corresponding taxonomy code that categorizes this field of practice is 314000000X.
On what date did Country Villa East L.P. receive its 1043204324 assignment from the Centers for Medicare & Medicaid Services?
The Country Villa East L.P. was assigned its 1043204324 on 2005-09-01, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Country Villa East L.P., such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Country Villa East L.P., including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2022-09-14.