Country Villa Imperial Llc in Los Angeles - Skilled Nursing Facility
Country Villa Imperial Llc - NPI 1083608293
Country Villa Imperial Llc is a Skilled Nursing Facility in Los Angeles, California. Country Villa Imperial Llc practices all healthcare services and medical treatments related to Skilled Nursing Facility. The NPI Number for Country Villa Imperial Llc is 1083608293. The last update date is 2014-01-29.
Country Villa Imperial Llc's current location address is 3002 Rowena Ave, Los Angeles, California. You can contact this provider via phone number 3236661544 and fax number 3236669584. The mailing address for Country Villa Imperial Llc is 3002 Rowena Ave, Los Angeles, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Country Villa Imperial Llc |
|---|---|
| Address | 3002 Rowena Ave, Los Angeles, California |
| Phone Number | 3236661544 |
| Fax Number | 3236669584 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | TRUSTEE OF |
|---|---|
| Authorized Official Name | Reissman E. Stephen |
| Telephone Number | 3105743733 |
NPI Number Detail
| NPI Number | 1083608293 |
|---|---|
| Provider Enumeration Date | 2005-09-01 |
| Last Updated Date | 2014-01-29 |
Provider Mailing Address Detail
| Address | 3002 Rowena Ave |
|---|---|
| City | Los Angeles |
| State | California (CA) |
| Post Code | 900392005 |
| Phone Number | 3236661544 |
| Fax Number | 3236669584 |
Provider's Primary Taxonomy Detail
| Speciality | Skilled Nursing Facility |
|---|---|
| Taxonomy | 314000000X |
| Licence No | 970000041 |
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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 |
|---|---|---|---|
| ZZT18588J | CA | -- |
Post Comment/ Review Below
What is the Country Villa Imperial Llc's 1083608293?
The Country Villa Imperial Llc's NPI (National Provider Identifier) Number is 1083608293. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Country Villa Imperial Llc located?
The Country Villa Imperial Llc is located at 3002 Rowena Ave, Los Angeles, CA 900392005.
What is the area of specialization for Country Villa Imperial Llc, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Country Villa Imperial Llc is Skilled Nursing Facility, and the corresponding taxonomy code that categorizes this area of expertise is 314000000X.
On what date did Country Villa Imperial Llc receive its 1083608293 assignment from the Centers for Medicare & Medicaid Services?
The Country Villa Imperial Llc was assigned its 1083608293 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 were the Country Villa Imperial Llc's details last updated?
The information pertaining to the Country Villa Imperial Llc, including its address, specialty, and other details, was most recently updated on 2014-01-29.