Country Villa Woodman Healthcare Center

LBN: Country Villa South Bay, Llc
Country Villa Woodman Healthcare Center is an health care organization with primary practice located at 13524 Sherman Way , Van Nuys CA 91405-2830. 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 South Bay, Llc can be contacted via phone (818) 786-3470, or through Reissman, Stephen E. via phone (310) 574-3733.

Contact Information

Primary practice address
13524 Sherman Way Van Nuys CA 91405-2830
Fax: (818) 786-0943
Website:
Authorized official contact:
Name: Reissman, Stephen E.

Health care specialties

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

Profile Details

NPI number 1104810159
LBN Legal business name Country Villa South Bay, Llc
DBA Doing business as Country Villa Woodman Healthcare Center
Authorized official Reissman, Stephen E.
Entity Organization
Organization subpart 1 No
Enumeration date Sep 6th, 2005
Last updated Aug 22nd, 2020 - about 2 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 1104810159 NPPES
California MEDICAID ZZT05712J

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