COUNTRY VILLA LOS FELIZ HEALTHCARE CENTER
NPI 1083608293
Skilled Nursing Facility in Los Angeles, CA

Active since September 01, 2005
3002 ROWENA AVE, LOS ANGELES, CA 90039(323) 666-1544(323) 666-9584 Get Directions Write a Review

NPPES record last updated: January 29, 2014. 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 1083608293) is a healthcare organization registered as a skilled nursing facility in Los Angeles, California and active in the NPI registry since September 2005. The organization lists Stephen E. Reissman, Trustee Of Managing Member, as its authorized official.

NPPES Registry Identity

NPI1083608293
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameCOUNTRY VILLA IMPERIAL LLC
Location Address3002 ROWENA AVELos Angeles, CA 90039-2005
Mailing Address5120 W Goldleaf Cir, Suite 400Los Angeles, CA 90056-1292 · (310) 574-3733 · Fax (310) 574-1322
Fax(323) 666-9584
Organization SubpartNo
Authorized OfficialStephen E. ReissmanTrustee Of Managing Member · (310) 574-3733
Enumeration DateSeptember 1, 2005
Last NPPES UpdateJanuary 29, 2014
NPI 1083608293 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

MedicaidZZT18588JCA
Medicare ID-Type Unspecified056380CA

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 Country Villa Imperial LLC's NPI number?

The NPI number for Country Villa Imperial LLC is 1083608293. It was assigned to this organization in the NPPES registry on September 1, 2005. The provider is doing business as Country Villa Los Feliz Healthcare Center.

Where is Country Villa Imperial LLC located?

Country Villa Imperial LLC is located at 3002 Rowena Ave, Los Angeles, CA 90039. The listed phone number is (323) 666-1544.

What is Country Villa Imperial LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Country Villa Imperial LLC was last updated on January 29, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.