Country Villa Park Marino Healthcare Center, Llc in Pasadena - Skilled Nursing Facility
Country Villa Park Marino Healthcare Center, Llc - NPI 1811982176
Country Villa Park Marino Healthcare Center, Llc is a Skilled Nursing Facility in Pasadena, California. Country Villa Park Marino Healthcare Center, Llc practices all healthcare services and medical treatments related to Skilled Nursing Facility. The NPI Number for Country Villa Park Marino Healthcare Center, Llc is 1811982176. The last update date is 2009-01-20.
Country Villa Park Marino Healthcare Center, Llc's current location address is 2585 E Washington Blvd, Pasadena, California. You can contact this provider via phone number 6264634105 and fax number 6267985121. The mailing address for Country Villa Park Marino Healthcare Center, Llc is 2585 E Washington Blvd, Pasadena, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Country Villa Park Marino Healthcare Center, Llc |
|---|---|
| Address | 2585 E Washington Blvd, Pasadena, California |
| Phone Number | 6264634105 |
| Fax Number | 6267985121 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Reissman E. Stephen |
| Telephone Number | 3105743733 |
NPI Number Detail
| NPI Number | 1811982176 |
|---|---|
| Provider Enumeration Date | 2005-09-13 |
| Last Updated Date | 2009-01-20 |
Provider Mailing Address Detail
| Address | 2585 E Washington Blvd |
|---|---|
| City | Pasadena |
| State | California (CA) |
| Post Code | 911071446 |
| Phone Number | 6264634105 |
| Fax Number | 6267985121 |
Provider's Primary Taxonomy Detail
| Speciality | Skilled Nursing Facility |
|---|---|
| Taxonomy | 314000000X |
| Licence No | 970000088 |
|
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 |
|---|---|---|---|
| LTC05548F | CA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Country Villa Park Marino Healthcare Center, Llc by the Centers for Medicare & Medicaid Services?
The Country Villa Park Marino Healthcare Center, Llc has been assigned the NPI (National Provider Identifier) 1811982176. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Country Villa Park Marino Healthcare Center, Llc's facilities are geographically located?
The facilities of Country Villa Park Marino Healthcare Center, Llc are physically situated at the following location: 2585 E Washington Blvd, Pasadena, CA, 911071446.
What is the Country Villa Park Marino Healthcare Center, Llc's specialty and taxonomy code?
The Country Villa Park Marino Healthcare Center, Llc's specialty is Skilled Nursing Facility, and the corresponding taxonomy code is 314000000X.
On what date did the Country Villa Park Marino Healthcare Center, Llc receive its 1811982176 assignment from the Centers for Medicare & Medicaid Services?
The Country Villa Park Marino Healthcare Center, Llc was assigned its 1811982176 by the Centers for Medicare & Medicaid Services on 2005-09-13.
When was the information related to Country Villa Park Marino Healthcare Center, Llc most recently updated or refreshed?
The details pertaining to the Country Villa Park Marino Healthcare Center, Llc, including its address, specialty, and other relevant information, were last updated or refreshed on 2009-01-20.
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