NPI Portal NPI Lookup & Verification

Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Country Villa Imperial LLC

Skilled Nursing Facility in Los Angeles, CA · enumerated 2005 · authorized official Stephen Reissman, Trustee of Managing Member.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1083608293

Verified

See something wrong? Report a correction

Registry record

Entity type Organization (Type 2)
Legal business name Country Villa Imperial LLC
Other name <Unavail>
Practice address 3002 Rowena Ave, Los Angeles, CA, 90039
Phone (323) 666-1544
Fax (323) 666-9584
Enumeration date Sep 1, 2005
Last updated in NPPES Jan 29, 2014

Taxonomy & classification

314000000X Skilled Nursing Facility Nursing & Custodial Care Facilities · License 970000041 (CA) Primary

Authorized official

Name Stephen Reissman
Title Trustee of Managing Member
Phone (310) 574-3733

Other identifiers

Identifier Type State Issuer
ZZT18588J Medicaid CA -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2014-01-29. Verify at npiregistry.cms.hhs.gov.
Where is Country Villa Imperial LLC located?
The practice location on file with NPPES is in Los Angeles, CA.

Providers at this address

Browse all →

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2014-01-29.