Country Villa Pavilion Healthcare Center
LBN: Country Villa East, L.P.
Country Villa Pavilion Healthcare Center is an health care organization with primary practice located at 5916 W Pico Blvd , Los Angeles CA 90035-2695. 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.
Country Villa East, L.P. can be contacted via phone (323) 939-3184, or through Reissman, Stephen E. via phone (310) 574-3733.
Contact Information
Primary practice address
5916 W Pico Blvd
Los Angeles CA 90035-2695
Phone: (323) 939-3184
Fax: (323) 939-1966
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing & Custodial Care Facilities / Skilled Nursing Facility | 314000000X | 910000145 | California |
Profile Details
| NPI number | 1568456739 |
|---|---|
| LBN Legal business name | Country Villa East, L.P. |
| DBA Doing business as | Country Villa Pavilion Healthcare Center |
| Authorized official | Reissman, Stephen E. |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 2nd, 2005 |
| Last updated | Sep 14th, 2022 - about 4 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 | 1568456739 | NPPES |
| California | MEDICAID | ZZT05160G |
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