Organization Active NPI

Villa Blanca,LLC

  • Assisted Living Facility
  • Goleta, CA
National Provider Identifier
1639306434
Registry record updated Jun 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
425800662 Issued in CA
Legal business name
VILLA BLANCA,LLC
Practice address
6272 Avenida Ganso
Goleta, CA 93117-2062
Phone
(805) 683-2000
NPI assigned
Jun 18, 2009
Last updated
Jun 18, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2009

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

Authorized official

Name
Mrs. Nonna Rozhko
Title
Ceo
Phone
(805) 683-2000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 425800662 CA Primary

Addresses

Primary practice location

6272 Avenida Ganso
Goleta, CA 93117-2062

Mailing address

6272 Avenida Ganso
Goleta, CA 93117-2062

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1245283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245283200000",
    "number": "1639306434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6272 AVENIDA GANSO",
            "city": "GOLETA",
            "state": "CA",
            "postal_code": "931172062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6272 AVENIDA GANSO",
            "city": "GOLETA",
            "state": "CA",
            "postal_code": "931172062",
            "telephone_number": "805-683-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLA BLANCA,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-18",
        "last_updated": "2009-06-18",
        "status": "A",
        "authorized_official_last_name": "ROZHKO",
        "authorized_official_first_name": "NONNA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "805-683-2000",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "CA",
            "license": "425800662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goleta, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2009; 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.