OrganizationActive
Country Villa Imperial LLC
NPI 1083608293 · Skilled Nursing Facility · Los Angeles, CA
Provider details
- NPI number
- 1083608293
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Stephen Reissman, Trustee of Managing Member(310) 574-3733
- License
- 970000041 (CA)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3002 Rowena Ave
Los Angeles, CA 90039-2005
Phone: (323) 666-1544
Fax: (323) 666-9584
Street-level locationGet directions
Mailing address
5120 W Goldleaf Cir
Los Angeles, CA 90056-1292
Other names (DBA / former)
- Doing business as
- Country Villa Los Feliz Healthcare Center
Registry dates
- Enumerated
- 2005-09-01
- Last updated
- 2014-01-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.