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Country Villa Imperial Llc
Skilled Nursing Facility in Los Angeles, California
NPI 1083608293

Country Villa Imperial Llc is a Skilled Nursing Facility based in Los Angeles, CA. Country Villa Imperial Llc practices in Los Angeles, CA. The NPI Number for Country Villa Imperial Llc is 1083608293 and holds a License No. 970000041 (California).

The current practice location address for Country Villa Imperial Llc is 3002 Rowena Ave, Los Angeles, CA and can be reached out via phone at 323-666-1544 and via fax at 323-666-9584.

Location: 3002 Rowena Ave, Los Angeles, CA, 90056-1292
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1083608293
Provider Name
Country Villa Imperial Llc
Credential
Provider Entity Type
Organization
Address
3002 Rowena Ave, Los Angeles, CA, 90056-1292
Phone Number
323-666-1544
Fax Number
323-666-9584
Provider Enumeration Date
09/01/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
ZZT18588J 05 CA
institution
Provider Business Practice Location Address Details
Address
3002 Rowena Ave
City
Los Angeles
State
California
Zip
90039-2005
Phone Number
323-666-1544
Fax Number
323-666-9584
person
Provider Business Mailing Address Details
Address
3002 Rowena Ave
City
Los Angeles
State
California
Zip
90039-2005
Phone Number
323-666-1544
Fax Number
323-666-9584
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Skilled Nursing Facility
Speciality
-
Taxonomy
314000000X
License No.
970000041 (California)
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.
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