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Country Villa East, L.p.
Skilled Nursing Facility in North Hills, California
NPI 1538153572

Country Villa East, L.p. is a Skilled Nursing Facility based in Irvine, CA. Country Villa East, L.p. practices in North Hills, CA. The NPI Number for Country Villa East, L.p. is 1538153572 and holds a License No. 920000065 (California).

The current practice location address for Country Villa East, L.p. is 9655 Sepulveda Blvd, North Hills, CA and can be reached out via phone at 818-892-8665 and via fax at 818-891-1208.

Location: 9655 Sepulveda Blvd, North Hills, CA, 92602-1343
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1538153572
Provider Name
Country Villa East, L.p.
Credential
Provider Entity Type
Organization
Address
9655 Sepulveda Blvd, North Hills, CA, 92602-1343
Phone Number
818-892-8665
Fax Number
818-891-1208
Provider Enumeration Date
09/06/2005
Last Update Date
02/15/2025
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Provider's Legacy Identifiers
Identifier Type State Issuer
ZZT18676I 05 CA
institution
Provider Business Practice Location Address Details
Address
9655 Sepulveda Blvd
City
North Hills
State
California
Zip
91343-3307
Phone Number
818-892-8665
Fax Number
818-891-1208
person
Provider Business Mailing Address Details
Address
9655 Sepulveda Blvd
City
North Hills
State
California
Zip
91343-3307
Phone Number
818-892-8665
Fax Number
818-891-1208
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Skilled Nursing Facility
Speciality
-
Taxonomy
314000000X
License No.
920000065 (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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