Century Villa, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

910000021 Issued in CA

Legal business name

CENTURY VILLA, INC.

Practice address

301 Centinela Ave
Inglewood, CA 90302-3231

Phone

(310) 672-1015

Fax

(310) 672-1015

NPI assigned

Mar 12, 2013

Organization subpart

No

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

(310) 672-1012

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Skilled nursing facility certification: CCN 555368

Legal name

CENTURY VILLA INC

Doing business as

N/A

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Jun 9, 1989

Last certification

Feb 7, 2025

Beds

99

Ownership / control type

Corporation

Organization structure

CorporationProprietary

Incorporated

Dec 7, 2012 in CA

Enrollment address

301 Centinela Ave
Inglewood, CA 90302-3231

Nursing home name

CENTURY VILLA, INC

Affiliated entity

ROLLINS-NELSON HEALTHCARE MANAGEMENT

Listed as

Century Villa, IncCCN 555368

Overall star rating

1 of 5

Health inspections

2 of 5

Staffing

1 of 5

Quality measures

4 of 5

Type

Medicare and Medicaid

Ownership

For profit - Corporation

Certified

Jun 9, 1989

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

9987.1 residents per day on average

Chain

Rollins-Nelson Healthcare Management8 facilities in the chain

Abuse citation

Cited for abuse (Care Compare abuse icon)

Penalties (3 years)

1Fines totaling $18,538

Processed by Care Compare on Aug 1, 2026.

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Century Villa Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Century Villa, Inc.

  • Skilled Nursing Facility
  • Glendora, CA
  • NPI 1427399633
  NPD tax ID

All disclosed owners & managing parties 7

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Luzviminda T. Montecillo, MD

  • Internal Medicine Physician
  • Inglewood, CA
  • NPI 1447348149

  Adp of the SNF, Contracted Managing Employee

  CMS ownership

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Luzviminda T. Montecillo, MD

  • Internal Medicine Physician
  • Inglewood, CA
  • NPI 1447348149

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1363046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363046400000",
    "number": "1659612992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 CENTINELA AVE",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903023231",
            "telephone_number": "310-672-1015",
            "fax_number": "310-672-1015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 CENTINELA AVE",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903023231",
            "telephone_number": "310-672-1015",
            "fax_number": "310-672-1015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTURY VILLA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-12",
        "last_updated": "2013-03-12",
        "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": "310-672-1012",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "910000021",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "91000021",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Skilled Nursing Facility in Inglewood, CA
• Providers in Inglewood, 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 Mar 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.