Active NPI
Villa del Rio, Inc.
- Skilled Nursing Facility
- Bell Gardens, CA
National Provider Identifier
1447767959
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- VILLA DEL RIO, INC.
- Practice address
- 7004 Gage Ave
Bell Gardens, CA 90201-2014 - Phone
- (562) 426-6141
- Fax
- (562) 285-9633
- NPI assigned
- Jan 5, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Vicki P Rollins, RN
- Title
- Vice-President
- Phone
- (562) 426-6141
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | CA | Primary |
Addresses
Primary practice location
7004 Gage Ave
Bell Gardens, CA 90201-2014
Mailing address
7002 Gage Ave
Bell Gardens, CA 90201-2014
Phone (562) 927-6586
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 940000053 | Medicaid | CA |
Other names 1
- Villa Del Rio Gardens
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1515110400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1620086400000",
"number": "1447767959",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7002 GAGE AVE",
"city": "BELL GARDENS",
"state": "CA",
"postal_code": "902012014",
"telephone_number": "562-927-6586",
"fax_number": "562-285-9633"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7004 GAGE AVE",
"city": "BELL GARDENS",
"state": "CA",
"postal_code": "902012014",
"telephone_number": "562-426-6141",
"fax_number": "562-285-9633"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VILLA DEL RIO, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2018-01-05",
"last_updated": "2021-05-04",
"certification_date": "2021-05-04",
"status": "A",
"authorized_official_last_name": "ROLLINS",
"authorized_official_first_name": "VICKI",
"authorized_official_middle_name": "P",
"authorized_official_title_or_position": "VICE-PRESIDENT",
"authorized_official_telephone_number": "562-426-6141",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "940000053",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Villa Del Rio Gardens",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Bell Gardens, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.