COUNTRY VILLA LOS FELIZ HEALTHCARE CENTER
NPI 1033458237
Skilled Nursing Facility in Los Angeles, CA

Active since February 07, 2013CLIA 05D0707180 · Waiver
3002 ROWENA AVE, LOS ANGELES, CA 90039(323) 666-1544(323) 666-9584 Get Directions Write a Review

NPPES record last updated: February 7, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Country Villa Los Feliz Healthcare Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COUNTRY VILLA LOS FELIZ HEALTHCARE CENTER (NPI 1033458237) is a healthcare organization registered as a skilled nursing facility in Los Angeles, California and active in the NPI registry since February 2013. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Cheryl A Petterson, Vp Business Services, as its authorized official.

NPPES Registry Identity

NPI1033458237
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameLOS FELIZ HEALTHCARE CENTER, LLC
Location Address3002 ROWENA AVELos Angeles, CA 90039-2005
Mailing Address3002 Rowena AveLos Angeles, CA 90039-2005 · (323) 666-1544 · Fax (323) 666-9584
Fax(323) 666-9584
Organization SubpartNo
Authorized OfficialCheryl A PettersonVp Business Services · (323) 596-2145
Enumeration DateFebruary 7, 2013
NPI 1033458237 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License Licensed in CA · 970000041
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 services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
3002 ROWENA AVE, Los Angeles, CA 90039

Other Names 1

Doing Business AsCountry Villa Los Feliz Healthcare Center

Other Identifiers 2

Medicare OSCAR/certification056380CA
MedicaidZZT18588JCA

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D0707180

Los Feliz Healthcare & Wellness Center, LP · Los Angeles, CA
Active · expires Aug 31, 2026
CLIA Number05D0707180
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorSteven W. Wang, MD
Laboratory Phone(323) 666-9584
Laboratory LocationLos Feliz Healthcare & Wellness Center, LP3002 Rowena Avenue, Los Angeles, CA 90039
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Skilled Nursing Facility
3002 ROWENA AVE
LOS ANGELES, CA 90039
Occupational Therapist
3002 ROWENA AVE
LOS ANGELES, CA 90039
Skilled Nursing Facility
3002 ROWENA AVE
LOS ANGELES, CA 90039
Occupational Therapist
3002 ROWENA AVE
LOS ANGELES, CA 90039
Registered Nurse
3002 ROWENA AVE
LOS ANGELES, CA 90039

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Los Feliz Healthcare Center, LLC's NPI number?

The NPI number for Los Feliz Healthcare Center, LLC is 1033458237. It was assigned to this organization in the NPPES registry on February 7, 2013. The provider is doing business as Country Villa Los Feliz Healthcare Center.

Where is Los Feliz Healthcare Center, LLC located?

Los Feliz Healthcare Center, LLC is located at 3002 Rowena Ave, Los Angeles, CA 90039. The listed phone number is (323) 666-1544.

What is Los Feliz Healthcare Center, LLC's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Does Los Feliz Healthcare Center, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0707180) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Los Feliz Healthcare Center, LLC was last updated on February 7, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.