COUNTRY VILLA PETALUMA HEALTHCARE CENTER
NPI 1669661716
Skilled Nursing Facility in Petaluma, CA

Active since October 15, 2007
523 HAYES LN, PETALUMA, CA 94952(707) 763-2457(707) 765-2176 Get Directions Write a Review

NPPES record last updated: October 15, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Country Villa Petaluma Healthcare Center NPPES

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

COUNTRY VILLA PETALUMA HEALTHCARE CENTER (NPI 1669661716) is a healthcare organization registered as a skilled nursing facility in Petaluma, California and active in the NPI registry since October 2007. The organization lists Stephen E. Reissman, Ceo, as its authorized official.

NPPES Registry Identity

NPI1669661716
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NamePETALUMA SKILLED NURSING & WELLNESS CENTRE, LLC
Location Address523 HAYES LNPetaluma, CA 94952-4011
Mailing Address5120 W Goldleaf Cir, Suite 400Los Angeles, CA 90056-1292 · (310) 574-3733 · Fax (310) 574-1322
Fax(707) 765-2176
Organization SubpartNo
Authorized OfficialStephen E. ReissmanCeo · (310) 574-3733
Enumeration DateOctober 15, 2007
NPI 1669661716 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
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.

523 HAYES LN, Petaluma, CA 94952

Other Names 1

Doing Business AsCountry Villa Petaluma Healthcare Center

Other Identifiers 2

Medicare OSCAR/certification555703CA
MedicaidLTC55703FCA

Other Providers at the Same Location


The following 15 providers are registered at the same or a nearby location.

Psychologist (Clinical)
523 HAYES LN
PETALUMA, CA 94952
Psychologist (Clinical)
523 HAYES LN
PETALUMA, CA 94952
Psychologist (Clinical)
523 HAYES LN
PETALUMA, CA 94952
Psychologist (Clinical)
523 HAYES LN
PETALUMA, CA 94952
Psychologist (Clinical)
523 HAYES LN
PETALUMA, CA 94952
Psychologist (Clinical)
523 HAYES LN
PETALUMA, CA 94952
Skilled Nursing Facility
523 HAYES LN
PETALUMA, CA 94952
Skilled Nursing Facility
523 HAYES LN
PETALUMA, CA 94952
Physical Therapist
523 HAYES LN
PETALUMA, CA 94952
Occupational Therapist
523 HAYES LN
PETALUMA, CA 94952
Physical Therapist (Geriatrics)
523 HAYES LN
PETALUMA, CA 94952
Skilled Nursing Facility
523 HAYES LN
PETALUMA, CA 94952
Skilled Nursing Facility
523 HAYES LN
PETALUMA, CA 94952
Physical Therapy Assistant
523 HAYES LN
PETALUMA, CA 94952
Skilled Nursing Facility
523 HAYES LN
PETALUMA, CA 94952

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1669661716, enumerated as an "organization" on October 15, 2007.

The provider is located at 523 HAYES LN PETALUMA, CA 94952 and the phone number is (707) 763-2457.

Skilled Nursing Facility with taxonomy code 314000000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.