RRT Enterprises LP

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

910000122 Issued in CA

Legal business name

RRT ENTERPRISES LP

Doing business as

Country Villa South Healthcare Center

Practice address

3515 Overland Ave
Los Angeles, CA 90034-5521

Phone

(310) 839-5201

Fax

(310) 839-2834

NPI assigned

Sep 6, 2005

Last updated

Oct 19, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Stephen E. Reissman

Title

Managing Member of General Partner

Phone

(310) 574-3733

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Country Villa South Healthcare Center Doing business as

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

{
    "created_epoch": "1125964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666137600000",
    "number": "1780678730",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3515 OVERLAND AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900345521",
            "telephone_number": "310-839-5201",
            "fax_number": "310-839-2834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RRT ENTERPRISES LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-06",
        "last_updated": "2022-10-19",
        "certification_date": "2022-10-19",
        "status": "A",
        "authorized_official_last_name": "REISSMAN",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "MANAGING MEMBER OF GENERAL PARTNER",
        "authorized_official_telephone_number": "310-574-3733",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "910000122",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZT05504H",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Country Villa South Healthcare Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Country Villa South Healthcare Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nicholas Rozon, M.D.
• Olga Rozovskaya
• RRT Enterprises LP (Country Villa North Healthcare Center)
• RRT Enterprises LP (Country Villa Mar Vista Nursing Center)
• RRT Enterprises LP (Country Villa Wilshire Healthcare Center)
• RSM Health Inc
• RT Med Group (Mother's Pharmacy & Nutrition)
• Sabrina Ruacho
• Sienna Ruacho
• Ruahrena Corporation (meditest vip concierge service)

• Skilled Nursing Facility in Los Angeles, CA
• Providers in Los Angeles, 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 Oct 19, 2022; 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.