Country Villa South Bay, LLC
NPI 1649264912 · Skilled Nursing Facility · Long Beach, CA
Country Villa South Bay, LLC is a Skilled Nursing Facility organization in Long Beach, CA (NPI 1649264912).
Provider details
- NPI number
- 1649264912
- 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
- 940000082 (CA)
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
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
Mailing address
Other names (DBA / former)
- Doing business as
- Country Villa Belmont Heights Healthcare Center
Registry dates
- Enumerated
- 2005-09-01
- Last updated
- 2014-01-29
Frequently asked questions
- What is Country Villa South Bay, LLC's NPI number?
- Country Villa South Bay, LLC's National Provider Identifier (NPI) is 1649264912, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Country Villa South Bay, LLC?
- Country Villa South Bay, LLC is classified in the NPPES registry as Skilled Nursing Facility (Nursing & Custodial Care Facilities).
- Where is Country Villa South Bay, LLC located?
- Country Villa South Bay, LLC's practice location on file with NPPES is 1730 Grand Ave, Long Beach, CA 90804-2011.
- What is Country Villa South Bay, LLC's phone number?
- The practice phone number listed in the NPPES registry for Country Villa South Bay, LLC is (562) 597-8817.
- Who is the authorized official for Country Villa South Bay, LLC?
- The authorized official listed on Country Villa South Bay, LLC's NPPES record is Stephen Reissman, Trustee of Managing Member. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Country Villa South Bay, LLC's NPI active?
- Yes — Country Villa South Bay, LLC's NPI (1649264912) is active in the NPPES registry as of the last update on 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.