Villa Elena Convalescent Hospital Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

940000172 Issued in CA

Legal business name

VILLA ELENA CONVALESCENT HOSPITAL INC

Practice address

13226 Studebaker Rd
Norwalk, CA 90650-2532

Phone

(562) 868-0591

Fax

(562) 929-2185

NPI assigned

Feb 9, 2006

Organization subpart

No

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

Authorized official

Name

James B. Kilian

Title

Chief Financial Officer

Phone

(909) 796-2595

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Villa Elena Healthcare Center Doing business as

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

{
    "created_epoch": "1139443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480464000000",
    "number": "1376516377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3000",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923549000",
            "telephone_number": "909-796-2595",
            "fax_number": "909-796-8797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13226 STUDEBAKER RD",
            "city": "NORWALK",
            "state": "CA",
            "postal_code": "906502532",
            "telephone_number": "562-868-0591",
            "fax_number": "562-929-2185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLA ELENA CONVALESCENT HOSPITAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-09",
        "last_updated": "2016-11-30",
        "status": "A",
        "authorized_official_last_name": "KILIAN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "909-796-2595"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "940000172",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "940000172",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZT06032F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Villa Elena Healthcare Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Yesenia Ventura
• Marcela Veraortega
• Andrea Verganza
• Xochitl Vicente Lopez
• Coreen Viczian
• Priscilla Elizabeth Villa
• Jocelyn Villalobos
• Jennelyn Liang Villanueva, OTR/L
• Nicole Villanueva
• Bernalyn Villaruel

• Skilled Nursing Facility in Norwalk, CA
• Providers in Norwalk, 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 Nov 30, 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.