COUNTRY VILLA WILSHIRE HEALTHCARE CENTER
NPI 1437424215
Skilled Nursing Facility in Los Angeles, CA

Active since March 13, 2012
855 N FAIRFAX AVE, LOS ANGELES, CA 90046(323) 596-2145(323) 596-4645 Get Directions Write a Review

NPPES record last updated: February 7, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Country Villa Wilshire Healthcare Center NPPES

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

COUNTRY VILLA WILSHIRE HEALTHCARE CENTER (NPI 1437424215) is a healthcare organization registered as a skilled nursing facility in Los Angeles, California and active in the NPI registry since March 2012. The organization lists Stephen Reissman, Ceo/chairman, as its authorized official.

NPPES Registry Identity

NPI1437424215
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameWILSHIRE HEALTHCARE CENTER LLC
Location Address855 N FAIRFAX AVELos Angeles, CA 90046-7207
Mailing Address5120 W Goldleaf Cir Ste 400Los Angeles, CA 90056-1297 · (323) 596-2145 · Fax (323) 596-4645
Fax(323) 596-4645
Organization SubpartNo
Authorized OfficialStephen ReissmanCeo/chairman · (310) 574-3733
Enumeration DateMarch 13, 2012
Last NPPES UpdateFebruary 7, 2013
NPI 1437424215 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 · 910000149
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.
855 N FAIRFAX AVE, Los Angeles, CA 90046

Other Names 1

Doing Business AsCountry Villa Wilshire Healthcare Center

Other Identifiers 2

MedicaidZZT05710JCA
Medicare OSCAR/certification055710CA

Other Providers at the Same Location NPPES 4

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

Occupational Therapist
855 N FAIRFAX AVE
LOS ANGELES, CA 90046
Physical Therapy Assistant
855 N FAIRFAX AVE
WEST HOLLYWOOD, CA 90046
Skilled Nursing Facility
855 N FAIRFAX AVE
LOS ANGELES, CA 90046
Skilled Nursing Facility
855 N FAIRFAX AVE
LOS ANGELES, CA 90046

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 Wilshire Healthcare Center LLC's NPI number?

The NPI number for Wilshire Healthcare Center LLC is 1437424215. It was assigned to this organization in the NPPES registry on March 13, 2012. The provider is doing business as Country Villa Wilshire Healthcare Center.

Where is Wilshire Healthcare Center LLC located?

Wilshire Healthcare Center LLC is located at 855 N Fairfax Ave, Los Angeles, CA 90046. The listed phone number is (323) 596-2145.

What is Wilshire 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 Wilshire 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.