Villa Maria Healthcare Center, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

050000106 Issued in CA

Legal business name

VILLA MARIA HEALTHCARE CENTER, LLC

Doing business as

Villa Maria Care Center

Practice address

425 Barcellus Ave.
Santa Maria, CA 93454-6901

Phone

(805) 922-3558

Fax

(805) 922-5548

NPI assigned

Sep 29, 2005

Organization subpart

Yes

Parent organization

SUMMIT CARE LLCAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Michael T. Berg

Title

Assistant Secretary

Phone

(505) 468-4752

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Villa Maria Care Center Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1127952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456272000000",
    "number": "1174510895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 BARCELLUS AVE.",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934546901",
            "telephone_number": "805-922-3558",
            "fax_number": "805-922-5548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 BARCELLUS AVE.",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934546901",
            "telephone_number": "805-922-3558",
            "fax_number": "805-922-5548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLA MARIA HEALTHCARE CENTER, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SUMMIT CARE LLC",
        "enumeration_date": "2005-09-29",
        "last_updated": "2016-02-24",
        "status": "A",
        "authorized_official_last_name": "BERG",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "ASSISTANT SECRETARY",
        "authorized_official_telephone_number": "505-468-4752"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "050000106",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZT05830J",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Villa Maria Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Victor M Guerrero MD Inc
• Jennifer Viduya
• Suzanne Brooke Vierling
• Chase Vierra
• Simone Vierra
• Allene Villa, MFT
• Lisa Michelle Villa, LVN
• Madison Rose Villa
• Monica Villa
• Marlene Villagrana

• Skilled Nursing Facility in Santa Maria, CA
• Providers in Santa Maria, CA by specialty
• Skilled Nursing Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.