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

Country Villa Service Corp

Organization Skilled Nursing Facility · NPI 1588997431

Country Villa Service Corp is a Skilled Nursing Facility in Los Angeles, California. Licensed in California. Registered with an NPI since 2009.

Licensed in
CA
In the registry since
2009
What do these letters mean?
Corp — Corporation
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

5120 W Goldleaf Cir Ste 400
Los Angeles, CA 90056-1297
Phone: (310) 574-3733
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Skilled Nursing Facility (primary) Taxonomy 314000000X (CA)

Record details

NPI number1588997431
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Cheryl Petterson — Vice President - Cams · (310) 574-3733
Other names Country Villa Health Services
NPI enumeratedSeptember 10, 2009
Last updated in NPPESSeptember 10, 2009
Mailing address5120 W Goldleaf Cir Ste 400, Los Angeles, CA 90056-1297

Other providers in Los Angeles