Country Villa East, L.P. in North Hills - Skilled Nursing Facility

Country Villa East, L.P. - NPI 1538153572

Country Villa East, L.P. is a Skilled Nursing Facility in North Hills, 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 1538153572. The last update date is 2022-09-07.

Country Villa East, L.P.'s current location address is 9655 Sepulveda Blvd, North Hills, California. You can contact this provider via phone number 8188928665 and fax number 8188911208. The mailing address for Country Villa East, L.P. is 9655 Sepulveda Blvd, North Hills, California. To know further, please read the information below!

Provider Profile Detail

Provider Organization Country Villa East, L.P.
Address 9655 Sepulveda Blvd, North Hills, California
Phone Number 8188928665
Fax Number 8188911208
Sole Proprietor --
Credentials --

Authorized Official

Title or Position MANAGING M
Authorized Official Name Reissman E. Stephen
Telephone Number 3105743733

NPI Number Detail

NPI Number 1538153572
Provider Enumeration Date 2005-09-06
Last Updated Date 2022-09-07

Provider Mailing Address Detail

Address 9655 Sepulveda Blvd
City North Hills
State California (CA)
Post Code 913433307
Phone Number 8188928665
Fax Number 8188911208

Provider's Primary Taxonomy Detail

Speciality Skilled Nursing Facility
Taxonomy 314000000X
Licence No 920000065
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
ZZT18676I CA --

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FAQs about Country Villa East, L.P.

What is the unique identifier code issued to Country Villa East, L.P. by the Centers for Medicare & Medicaid Services?

The Country Villa East, L.P. has been assigned the NPI (National Provider Identifier) 1538153572. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Country Villa East, L.P. is physically located?

The Country Villa East, L.P. is situated at the following address: 9655 Sepulveda Blvd, North Hills, CA 913433307.

What is Country Villa East, L.P.'s specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Country Villa East, L.P. is Skilled Nursing Facility, and the taxonomy code that classifies this field of practice is 314000000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1538153572 to Country Villa East, L.P.?

The Country Villa East, L.P. received its 1538153572 assignment from the Centers for Medicare & Medicaid Services on 2005-09-06.

As of what date were the details pertaining to Country Villa East, L.P. last refreshed?

The information related to the Country Villa East, L.P., including its address, specialty, and other relevant details, was last updated on 2022-09-07.

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