COUNTRY VILLA EAST NURSING CENTER
NPI 1083959423
Skilled Nursing Facility in Los Angeles, CA

Active since December 11, 2012
2415 S WESTERN AVE, LOS ANGELES, CA 90018(323) 734-1101(323) 734-3872 Get Directions Write a Review

NPPES record last updated: December 11, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Country Villa East Nursing Center NPPES

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

COUNTRY VILLA EAST NURSING CENTER (NPI 1083959423) is a healthcare organization registered as a skilled nursing facility in Los Angeles, California and active in the NPI registry since December 2012. The organization lists Cheryl A Petterson, Vp Business Services, as its authorized official.

NPPES Registry Identity

NPI1083959423
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameEAST HEALTHCARE CENTER, LLC
Location Address2415 S WESTERN AVELos Angeles, CA 90018-2608
Mailing Address2415 S Western AveLos Angeles, CA 90018-2608 · (323) 734-1101 · Fax (323) 734-3872
Fax(323) 734-3872
Organization SubpartNo
Authorized OfficialCheryl A PettersonVp Business Services · (323) 596-2145
Enumeration DateDecember 11, 2012
NPI 1083959423 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 · 970000018
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.
2415 S WESTERN AVE, Los Angeles, CA 90018

Other Names 1

Doing Business AsCountry Villa East Nursing Center

Other Identifiers 2

MedicaidZZT06114HCA
Medicare OSCAR/certification056114CA

Other Providers at the Same Location NPPES 3

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

Skilled Nursing Facility
2415 S WESTERN AVE
LOS ANGELES, CA 90018
Skilled Nursing Facility
2415 S WESTERN AVE
LOS ANGELES, CA 90018
Physical Therapy Assistant
2415 S WESTERN AVE
LOS ANGELES, CA 90018

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 East Healthcare Center, LLC's NPI number?

The NPI number for East Healthcare Center, LLC is 1083959423. It was assigned to this organization in the NPPES registry on December 11, 2012. The provider is doing business as Country Villa East Nursing Center.

Where is East Healthcare Center, LLC located?

East Healthcare Center, LLC is located at 2415 S Western Ave, Los Angeles, CA 90018. The listed phone number is (323) 734-1101.

What is East Healthcare Center, 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 East Healthcare Center, LLC was last updated on December 11, 2012. 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.