Organization Active NPI

Mar Vista Country Villa Healthcare & Wellness Centre, LP

  • Skilled Nursing Facility
  • Los Angeles, CA
National Provider Identifier
1720488067
Registry record updated Jun 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
MAR VISTA COUNTRY VILLA HEALTHCARE & WELLNESS CENTRE, LP
Practice address
3966 Marcasel Ave
Los Angeles, CA 90066-4616
Phone
(310) 397-2372
Fax
(310) 397-2383
NPI assigned
Aug 22, 2014
Last updated
Jun 29, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2026

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

Authorized official

Name
Mr. Shlomo Rechnitz
Title
Managing Member
Phone
(626) 800-1191

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

3966 Marcasel Ave
Los Angeles, CA 90066-4616

Mailing address

3580 Wilshire Blvd Ste 600
Los Angeles, CA 90010-2502
Phone (323) 330-6500

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service Other eSolutions Inc.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160519000465 CA Part A Provider - Skilled Nursing Facility 4688963341 Practice locations: Los Angeles, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1720488067. Details of each certification follow.

Skilled nursing facility certification: CCN 555726

Legal name
MAR VISTA COUNTRY VILLA HEALTHCARE & WELLNESS CENTRE LP
Doing business as
ROCKPORT HEALTHCARE SERVICES
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jun 11, 1998
Last certification
Nov 1, 2024
Beds
68
Ownership / control type
Limited Liability Corporation
Most recent change of ownership
Oct 11, 2023
Organization structure
PartnershipProprietary
Incorporated
Aug 1, 2014 in CA
Enrollment address
3966 Marcasel Ave
Los Angeles, CA 90066-4616
Nursing home name
MAR VISTA COUNTRY VILLA HEALTHCARE & WELLNESS
Affiliated entity
CORPORATE INTERFACE SERVICES

Care Compare: Nursing home

Medicare Care Compare
Listed as
Mar Vista Country Villa Healthcare & WellnessCCN 555726 · All quality measures
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 - Limited Liability company
Certified
Jun 11, 1998
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
6863.3 residents per day on average
Chain
Corporate Interface Services40 facilities in the chain
Abuse citation
Cited for abuse (Care Compare abuse icon)
Penalties (3 years)
4Fines totaling $96,569

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D0946350Mar Vista Country Villa Healthcare &3966 Marcasel Avenue, Los Angeles, CA 90066Certificate of waiverMay 21, 2028

National Provider Directory

National Provider Directory

Ownership & related parties

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.

NameRoleSinceShare
Rockport Administrative Services, LLC Organization, Los Angeles, CA LLC Operational/Managerial Control Oct 31, 2014
Adp of the SNF May 15, 2025
Mar Vista Wellness GP LLC Organization, Los Angeles, CA LLC, Owned by another organization or individual General Partnership Interest Aug 1, 2014 0.1%
Mar Vista-Let LLC Organization, Los Angeles, CA LLC Adp of the SNF Apr 3, 2025
Paymon Banafshe Individual Operational/Managerial Control Jan 1, 2024
Adp of the SNF Jan 1, 2024
Corporate Interface Services LLC Organization, Lakewood, NJ LLC Operational/Managerial Control Mar 18, 2024
Adp of the SNF May 15, 2025
Shmuel Goldstein Individual Operational/Managerial Control Oct 16, 2023
Adp of the SNF Oct 16, 2023
Shlomo Rechnitz Individual Limited Partnership InterestLimited Partner Aug 1, 2014 99.9%

Owners & managing parties with NPI records 1

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

Facilities with the same owner 71

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 71

Practitioners & affiliated clinicians

Affiliated clinicians 4

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

NPI Registry JSON

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

{
    "created_epoch": "1408665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782691200000",
    "number": "1720488067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3580 WILSHIRE BLVD STE 600",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900102502",
            "telephone_number": "323-330-6500",
            "fax_number": "866-603-3566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3966 MARCASEL AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900664616",
            "telephone_number": "310-397-2372",
            "fax_number": "310-397-2383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAR VISTA COUNTRY VILLA HEALTHCARE & WELLNESS CENTRE, LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-22",
        "last_updated": "2026-06-29",
        "certification_date": "2026-06-29",
        "status": "A",
        "authorized_official_last_name": "RECHNITZ",
        "authorized_official_first_name": "SHLOMO",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "626-800-1191",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1066.1",
            "affiliationName": "eSolutions Inc.",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "8215 W 108th Ter",
            "city": "Overland Park",
            "state": "KS",
            "country_code": "US",
            "postal_code": "662101161",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.