Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Country Villa East LP

Organization Skilled Nursing Facility · NPI 1043204324

Country Villa East LP is a Skilled Nursing Facility in Los Angeles, California. Medicare rates this nursing home 1 out of 5. Licensed in California.

CMS rating
1 of 5
Licensed in
CA
In the registry since
2005
What do these letters mean?
LP — Limited partnership
A form of business registration, not a clinical qualification.

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CMS quality rating

1 out of 5 — official nursing home rating from CMS Care Compare (CCN 056114)
Health inspection1.0 / 5
Staffing1.0 / 5
Quality measures2.0 / 5
OwnershipFor profit - Limited Liability company

Practice location Address checks out

2415 S Western Ave
Los Angeles, CA 90018-2608
Phone: (323) 734-1101
Fax: (323) 734-3872
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Skilled Nursing Facility (primary) Taxonomy 314000000X · Licence 970000018 (CA)

Record details

NPI number1043204324
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Stephen Reissman — Managing Member Of General Partner · (310) 574-3733
Other names Country Villa East Healthcare Center; Country Villa East Healthcare Center
NPI enumeratedSeptember 1, 2005
Last updated in NPPESSeptember 14, 2022
Certification dateSeptember 14, 2022
Mailing address3580 Wilshire Blvd Ste 600, Los Angeles, CA 90010-2502

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