Country Villa Service Corp.
NPI 1588997431 · Skilled Nursing Facility · Los Angeles, CA
Country Villa Service Corp. is a Skilled Nursing Facility organization in Los Angeles, CA (NPI 1588997431).
Provider details
- NPI number
- 1588997431
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Cheryl Petterson, Vice President - Cams(310) 574-3733
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 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
Mailing address
Other names (DBA / former)
- Other name
- Country Villa Health Services
Registry dates
- Enumerated
- 2009-09-10
- Last updated
- 2009-09-10
Frequently asked questions
- What is Country Villa Service Corp.'s NPI number?
- Country Villa Service Corp.'s National Provider Identifier (NPI) is 1588997431, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Country Villa Service Corp.?
- Country Villa Service Corp. is classified in the NPPES registry as Skilled Nursing Facility (Nursing & Custodial Care Facilities).
- Where is Country Villa Service Corp. located?
- Country Villa Service Corp.'s practice location on file with NPPES is 5120 W Goldleaf Cir Ste 400, Los Angeles, CA 90056-1297.
- What is Country Villa Service Corp.'s phone number?
- The practice phone number listed in the NPPES registry for Country Villa Service Corp. is (310) 574-3733.
- Who is the authorized official for Country Villa Service Corp.?
- The authorized official listed on Country Villa Service Corp.'s NPPES record is Cheryl Petterson, Vice President - Cams. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Country Villa Service Corp.'s NPI active?
- Yes — Country Villa Service Corp.'s NPI (1588997431) is active in the NPPES registry as of the last update on 2009-09-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.