Organization Active NPI

Santa Fe Healthcare, LLC

Doing business as Villa Maria Elena Healthcare Center

  • Skilled Nursing Facility
  • Compton, CA
National Provider Identifier
1184793291
Registry record updated Nov 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
SANTA FE HEALTHCARE, LLC
Doing business as
Villa Maria Elena Healthcare Center
Practice address
2309 N Santa Fe Ave
Compton, CA 90222-2824
Phone
(310) 639-8111
NPI assigned
Nov 6, 2006
Last updated
Nov 18, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2013

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

Authorized official

Name
Mrs. Jeoung Hans Lee
Title
President Ceo
Phone
(323) 225-8804

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X CA Primary

Addresses

Primary practice location

2309 N Santa Fe Ave
Compton, CA 90222-2824

Mailing address

2309 N. Santa Fe Ave
Compton, CA 90222-2824
Phone (310) 639-8111

Other identifiers 1

IdentifierTypeStateIssuer
LTC55732GMedicaidCA

Other names 1

  • VILLA MARIA ELENA HEALTHCARE CENTER Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384732800000",
    "number": "1184793291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2309 N. SANTA FE AVE",
            "city": "COMPTON",
            "state": "CA",
            "postal_code": "902222824",
            "telephone_number": "310-639-8111",
            "fax_number": "310-868-5955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2309 N SANTA FE AVE",
            "city": "COMPTON",
            "state": "CA",
            "postal_code": "902222824",
            "telephone_number": "310-639-8111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANTA FE HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-06",
        "last_updated": "2013-11-18",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "JEOUNG",
        "authorized_official_middle_name": "HANS",
        "authorized_official_title_or_position": "PRESIDENT CEO",
        "authorized_official_telephone_number": "323-225-8804",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LTC55732G",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VILLA MARIA ELENA HEALTHCARE CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Compton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2013; 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.