COLLEGE VISTA CONVALESCENT HOSPITAL
NPI 1679562557
Skilled Nursing Facility in Los Angeles, CA

Active since October 13, 2005
4681 EAGLE ROCK BLVD, LOS ANGELES, CA 90041(323) 257-8151(323) 257-2187 Get Directions Write a Review

NPPES record last updated: October 12, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About College Vista Convalescent Hospital NPPES

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

COLLEGE VISTA CONVALESCENT HOSPITAL (NPI 1679562557) is a healthcare organization registered as a skilled nursing facility in Los Angeles, California and active in the NPI registry since October 2005. The organization lists Jeanne Nelson, A/r Manager, as its authorized official.

NPPES Registry Identity

NPI1679562557
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameNOTELLAGE CORPORATION
Location Address4681 EAGLE ROCK BLVDLos Angeles, CA 90041
Mailing Address3050 Saturn Street, Ste 201Brea, CA 92821 · (714) 577-3880 · Fax (714) 577-3895
Fax(323) 257-2187
Organization SubpartNo
Authorized OfficialJeanne NelsonA/r Manager · (714) 577-3880
Enumeration DateOctober 13, 2005
Last NPPES UpdateOctober 12, 2015
NPI 1679562557 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 · 970000044
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.
4681 EAGLE ROCK BLVD, Los Angeles, CA 90041

Other Names 1

Doing Business AsCollege Vista Convalescent Hospital

Other Identifiers 2

MedicaidZZ0T5538HCA
Medicare OSCAR/certification555030CA

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 Notellage Corporation's NPI number?

The NPI number for Notellage Corporation is 1679562557. It was assigned to this organization in the NPPES registry on October 13, 2005. The provider is doing business as College Vista Convalescent Hospital.

Where is Notellage Corporation located?

Notellage Corporation is located at 4681 Eagle Rock Blvd, Los Angeles, CA 90041. The listed phone number is (323) 257-8151.

What is Notellage Corporation'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 Notellage Corporation was last updated on October 12, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.