Country Villa Plaza Healthcare Center

LBN: Country Villa Plaza, A Ca Ltd. Partnership
Country Villa Plaza Healthcare Center is an health care organization with primary practice located at 1209 Hemlock Way , Santa Ana CA 92707-3609. 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 Plaza, A Ca Ltd. Partnership can be contacted via phone (714) 546-1966, or through Reissman, Stephen E. via phone (310) 574-3733.

Contact Information

Primary practice address
1209 Hemlock Way Santa Ana CA 92707-3609
Phone: (714) 546-1966
Fax: (714) 546-6719
Website:
Map and Directions
Authorized official contact:
Name: Reissman, Stephen E.
Phone: (310) 574-3733

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 060000168 California

Profile Details

NPI number 1679567853
LBN Legal business name Country Villa Plaza, A Ca Ltd. Partnership
DBA Doing business as Country Villa Plaza Healthcare Center
Authorized official Reissman, Stephen E.
Entity Organization
Organization subpart 1 No
Enumeration date Sep 2nd, 2005
Last updated Jan 29th, 2014 - about 11 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679567853 NPPES
California MEDICAID ZZT05206K

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