Belmont Heights Healthcare Center LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

940000082 Issued in CA

Legal business name

BELMONT HEIGHTS HEALTHCARE CENTER LLC

Doing business as

Country Villa Belmont Heights Healthcare Center

Practice address

1730 Grand Ave
Long Beach, CA 90804-2011

Phone

(323) 596-2145

Fax

(323) 596-4645

NPI assigned

Apr 9, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Stephen Reissman

Title

Ceo/Chairman

Phone

(310) 574-3733

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Country Villa Belmont Heights Healthcare Center Doing business as

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

{
    "created_epoch": "1333929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360195200000",
    "number": "1891051355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5120 W GOLDLEAF CIR STE 400",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900561297",
            "telephone_number": "323-596-2145",
            "fax_number": "323-596-4645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1730 GRAND AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908042011",
            "telephone_number": "323-596-2145",
            "fax_number": "323-596-4645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELMONT HEIGHTS HEALTHCARE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-09",
        "last_updated": "2013-02-07",
        "status": "A",
        "authorized_official_last_name": "REISSMAN",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "CEO/CHAIRMAN",
        "authorized_official_telephone_number": "310-574-3733",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "940000082",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LTC70129F",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZT05077H",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Country Villa Belmont Heights Healthcare Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mirtha Bellido, M.S.
• Abubakar Paul Bello
• Brian Steven Bello, M.D.
• Melinda Marie Bellomy-Muth, RN, NP
• Judith Jennifer Belman, NP
• Belmont Psychological Services, a Psychology Corporation
• Belmont Shore Optometric Associates Inc.
• Belmont Shore Wellness Center
• Sara Elizabeth Belmonte
• Jasmin Belmudez

• Skilled Nursing Facility in Long Beach, CA
• Providers in Long Beach, 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 Feb 7, 2013; 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.