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

Country Villa Nursing Center, Inc

Organization Skilled Nursing Facility · NPI 1952395147

Country Villa Nursing Center, Inc is a Skilled Nursing Facility in Los Angeles, California. Licensed in California. Registered with an NPI since 2005.

Licensed in
CA
In the registry since
2005
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

340 S Alvarado St
Los Angeles, CA 90057-2915
Phone: (213) 484-9730
Fax: (213) 484-9507
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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 970000068 (CA)

Record details

NPI number1952395147
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Stephen Reissman — President · (310) 574-3733
Other names Country Villa Rehabilitation Center; Country Villa Rehabilitation Center
NPI enumeratedSeptember 2, 2005
Last updated in NPPESMay 2, 2022
Certification dateMay 2, 2022
Mailing address5120 W Goldleaf Cir, Suite 400, Los Angeles, CA 90056-1292

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