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

Country Villa Imperial, LLC

Organization Skilled Nursing Facility · NPI 1699018739

Country Villa Imperial, LLC is a Skilled Nursing Facility in Ontario, California. Licensed in California. Registered with an NPI since 2013.

Licensed in
CA
In the registry since
2013
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

933 E Deodar St
Ontario, CA 91764-1309
Phone: (909) 985-2731
Fax: (909) 985-1414
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Skilled Nursing Facility (primary) Taxonomy 314000000X · Licence 240000113 (CA)

Record details

NPI number1699018739
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Stephen Reissman — Ceo · (310) 574-3733
Other names Healthcare Center Of Bella Vista
NPI enumeratedMarch 27, 2013
Last updated in NPPESApril 30, 2013
Mailing address933 E Deodar St, Ontario, CA 91764-1309

Other providers in Ontario