COUNTRY VILLA WESTWOOD HEALTHCARE CENTER
NPI 1750375705
Skilled Nursing Facility in Los Angeles, CA

NPI Status: Active since September 06, 2005

Contact Information

12121 SANTA MONICA BLVD
LOS ANGELES, CA
ZIP 90025
Phone: (310) 826-0821
Fax: (310) 207-9311

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  • Organization
  • Skilled Nursing Facility

About COUNTRY VILLA WESTWOOD HEALTHCARE CENTER

This page provides the complete NPI Profile along with additional information for Country Villa Westwood Healthcare Center, a provider established in Los Angeles, California operating as a Skilled Nursing Facility. The healthcare provider is registered in the NPI registry with number 1750375705 assigned on September 2005. The practitioner's primary taxonomy code is 314000000X with license number 910000123 (CA). The provider is registered as an organization and their NPI record was last updated 11 years ago. The provider's is doing business as Country Villa Westwood Healthcare Center. The authorized official of this NPI record is Mr. Stephen E. Reissman (Managing Member Of General Partner)

NPI
1750375705
Provider Legal Name
COUNTRY VILLA WESTWOOD, A CA LTD
Other Organization Name
COUNTRY VILLA WESTWOOD HEALTHCARE CENTER
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
12121 SANTA MONICA BLVD LOS ANGELES, CA 90025
Location Phone
(310) 826-0821
Location Fax
(310) 207-9311
Mailing Address
5120 W GOLDLEAF CIR SUITE 400 LOS ANGELES, CA 90056
Mailing Phone
(310) 574-3733
Mailing Fax
(310) 207-9311
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-06-2005
Last Update Date
03-31-2014
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Skilled Nursing Facility

Taxonomy Code
314000000X
Type
Nursing & Custodial Care Facilities
License No.
910000123
License State
CA
Taxonomy Description
(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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. STEPHEN E. REISSMAN

Authorized Official Title
MANAGING MEMBER OF GENERAL PARTNER
Authorized Official Phone
(310) 574-3733

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
ZZT05060HMEDICAID (05)CA 
055060MEDICARE ID-TYPE UNSPECIFIED (04)CA 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1750375705
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
27100671070
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 0 + 0 + 6 + 7 + 1 + 0 + 7 + 0 + 24 = 55
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 55 = 55

The NPI number 1750375705 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 4 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1922348960WESTWOOD HEALTHCARE CENTER, LLC
Organization
Skilled Nursing Facility12121 SANTA MONICA BLVD
LOS ANGELES, CA 90025
(310) 826-0821
1700366069 ANDREW STEVEN FLORES
Individual
Occupational Therapist12121 SANTA MONICA BLVD
LOS ANGELES, CA 90025
(310) 826-0821
1700659398 PRISCILLA CARDONA COTA/L
Individual
Occupational Therapy Assistant12121 SANTA MONICA BLVD
LOS ANGELES, CA 90025
(310) 826-0821
1063812212WESTWOOD HEALTHCARE & WELLNESS CENTRE LP
Organization
Skilled Nursing Facility12121 SANTA MONICA BLVD
LOS ANGELES, CA 90025
(310) 826-0821

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1750375705, enumerated in the NPI registry as an "organization" on September 06, 2005

The provider is located at 12121 Santa Monica Blvd Los Angeles, Ca 90025 and the phone number is (310) 826-0821

This medical organization specializes in Skilled Nursing Facility with taxonomy code 314000000X

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on September 06, 2005. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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