COUNTRY VILLA TERRACE ASSISTED LIVING
NPI 1801126305
Skilled Nursing Facility in Los Angeles, CA

Active since January 05, 2010
6050 W PICO BLVD, LOS ANGELES, CA 90035(323) 653-5565(323) 782-9516 Get Directions Write a Review

NPPES record last updated: September 14, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Country Villa Terrace Assisted Living NPPES

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

COUNTRY VILLA TERRACE ASSISTED LIVING (NPI 1801126305) is a healthcare organization registered as a skilled nursing facility in Los Angeles, California and active in the NPI registry since January 2010. The organization lists Cheryl Petterson, Vice President - Cams, as its authorized official.

NPPES Registry Identity

NPI1801126305
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameCOUNTRY VILLA EAST, LP
Location Address6050 W PICO BLVDLos Angeles, CA 90035-2647
Mailing Address3580 Wilshire Blvd Ste 600Los Angeles, CA 90010-2502 · (323) 330-6500
Fax(323) 782-9516
Organization SubpartNo
Authorized OfficialCheryl PettersonVice President - Cams · (310) 574-3733
Enumeration DateJanuary 5, 2010
Last NPPES UpdateSeptember 14, 2022
NPPES CertifiedSeptember 14, 2022
NPI 1801126305 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.
6050 W PICO BLVD, Los Angeles, CA 90035

Other Names 1

Doing Business AsCountry Villa Terrace Assisted Living

Other Identifiers 1

Medicaid1801126305CA

Other Providers at the Same Location NPPES

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

Assisted Living Facility
6050 W PICO BLVD
LOS ANGELES, CA 90035

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 East, LP's NPI number?

The NPI number for Country Villa East, LP is 1801126305. It was assigned to this organization in the NPPES registry on January 5, 2010. The provider is doing business as Country Villa Terrace Assisted Living.

Where is Country Villa East, LP located?

Country Villa East, LP is located at 6050 W Pico Blvd, Los Angeles, CA 90035. The listed phone number is (323) 653-5565.

What is Country Villa East, LP'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 East, LP was last updated on September 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.