Active NPI
New Villa, LLC
- Assisted Living Facility
- Carson, CA
National Provider Identifier
1710867908
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- Legal business name
- NEW VILLA, LLC
- Practice address
- 1638 E Cyrene Dr
Carson, CA 90746-2928 - Phone
- (310) 844-9252
- Fax
- (310) 844-9252
- NPI assigned
- Sep 8, 2025
- 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
- Mr. Neilson Villanueva
- Title
- Owner
- Phone
- (310) 408-8971
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | Primary |
Addresses
Primary practice location
1638 E Cyrene Dr
Carson, CA 90746-2928
Mailing address
1638 E Cyrene Dr
Carson, CA 90746-2928
Phone (310) 844-9252
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1757289600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757289600000",
"number": "1710867908",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1638 E CYRENE DR",
"city": "CARSON",
"state": "CA",
"postal_code": "907462928",
"telephone_number": "310-844-9252",
"fax_number": "310-844-9252"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1638 E CYRENE DR",
"city": "CARSON",
"state": "CA",
"postal_code": "907462928",
"telephone_number": "310-844-9252",
"fax_number": "310-844-9252"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEW VILLA, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-09-08",
"last_updated": "2025-09-08",
"certification_date": "2025-09-07",
"status": "A",
"authorized_official_last_name": "VILLANUEVA",
"authorized_official_first_name": "NEILSON",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "310-408-8971",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Carson, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.