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Country Villa South Bay, LLC

Skilled Nursing Facility in Long Beach, 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

1649264912

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Registry record

Entity type Organization (Type 2)
Legal business name Country Villa South Bay, LLC
Other name <Unavail>
Practice address 1730 Grand Ave, Long Beach, CA, 90804
Phone (562) 597-8817
Fax (562) 498-2261
Enumeration date Sep 1, 2005
Last updated in NPPES Jan 29, 2014

Taxonomy & classification

314000000X Skilled Nursing Facility Nursing & Custodial Care Facilities · License 940000082 (CA) Primary

Authorized official

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

Other identifiers

Identifier Type State Issuer
ZZT05077H 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.

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Frequently asked questions

What is the NPI number for Country Villa South Bay, LLC?
The NPI for Country Villa South Bay, LLC is 1649264912, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Country Villa South Bay, LLC?
NPPES lists Stephen Reissman (Trustee of Managing Member) as the authorized official for this organization.

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