Organization Active NPI

Villa del Rio, Inc.

  • Skilled Nursing Facility
  • Bell Gardens, CA
National Provider Identifier
1447767959
Registry record updated May 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
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

Updated by the provider on May 4, 2021

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
940000053MedicaidCA

Other names 1

  • Villa Del Rio Gardens 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": "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.

Verify at the official NPI Registry.