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Country Villa Imperial, Llc
Skilled Nursing Facility in Ontario, California
NPI 1699018739

Country Villa Imperial, Llc is a Skilled Nursing Facility based in Ontario, CA. Country Villa Imperial, Llc practices in Ontario, CA. The NPI Number for Country Villa Imperial, Llc is 1699018739 and holds a License No. 240000113 (California).

The current practice location address for Country Villa Imperial, Llc is 933 E Deodar St, Ontario, CA and can be reached out via phone at 909-985-2731 and via fax at 909-985-1414.

Location: 933 E Deodar St, Ontario, CA, 91764-1309
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1699018739
Provider Name
Country Villa Imperial, Llc
Credential
Provider Entity Type
Organization
Address
933 E Deodar St, Ontario, CA, 91764-1309
Phone Number
909-985-2731
Fax Number
909-985-1414
Provider Enumeration Date
03/27/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
ZZT05693I 05 CA
institution
Provider Business Practice Location Address Details
Address
933 E Deodar St
City
Ontario
State
California
Zip
91764-1309
Phone Number
909-985-2731
Fax Number
909-985-1414
person
Provider Business Mailing Address Details
Address
933 E Deodar St
City
Ontario
State
California
Zip
91764-1309
Phone Number
909-985-2731
Fax Number
909-985-1414
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Skilled Nursing Facility
Speciality
-
Taxonomy
314000000X
License No.
240000113 (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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