location
search-icon
institution
Country Villa South Bay, Llc
Skilled Nursing Facility in Long Beach, California
NPI 1649264912

Country Villa South Bay, Llc is a Skilled Nursing Facility based in Los Angeles, CA. Country Villa South Bay, Llc practices in Long Beach, CA. The NPI Number for Country Villa South Bay, Llc is 1649264912 and holds a License No. 940000082 (California).

The current practice location address for Country Villa South Bay, Llc is 1730 Grand Ave, Long Beach, CA and can be reached out via phone at 562-597-8817 and via fax at 562-498-2261. You can also correspond with Country Villa South Bay, Llc through the mailing address at 5120 W GOLDLEAF CIR, LOS ANGELES, CA - 90056-1292 (mailing address contact number: 310-574-3733).

Location: 1730 Grand Ave, Long Beach, CA, 90056-1292
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1649264912
Provider Name
Country Villa South Bay, Llc
Credential
Provider Entity Type
Organization
Address
1730 Grand Ave, Long Beach, CA, 90056-1292
Phone Number
562-597-8817
Fax Number
562-498-2261
Provider Enumeration Date
09/01/2005
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
ZZT05077H 05 CA
institution
Provider Business Practice Location Address Details
Address
1730 Grand Ave
City
Long Beach
State
California
Zip
90804-2011
Phone Number
562-597-8817
Fax Number
562-498-2261
person
Provider Business Mailing Address Details
Address
1730 Grand Ave
City
Long Beach
State
California
Zip
90804-2011
Phone Number
562-597-8817
Fax Number
562-498-2261
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Skilled Nursing Facility
Speciality
-
Taxonomy
314000000X
License No.
940000082 (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.
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.