Flower Villa, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

056438 Issued in CA

Legal business name

FLOWER VILLA, INC.

Practice address

1480 S la Cienega Blvd
Los Angeles, CA 90035-3715

Phone

(310) 652-3030

Fax

(310) 652-0329

NPI assigned

Nov 12, 2009

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) 652-3030

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Skilled nursing facility certification: CCN 056438

Legal name

FLOWER VILLA, INC.

Doing business as

N/A

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

May 13, 1974

Last certification

Mar 9, 2025

Beds

41

Ownership / control type

Corporation

Organization structure

CorporationProprietary

Incorporated

Nov 1, 2007 in CA

Enrollment address

1480 S la Cienega Blvd
Los Angeles, CA 90035-3715

Nursing home name

FLOWER VILLA, INC

Affiliated entity

ROLLINS-NELSON HEALTHCARE MANAGEMENT

Listed as

Flower Villa, IncCCN 056438

Overall star rating

3 of 5

Health inspections

3 of 5

Staffing

3 of 5

Quality measures

4 of 5

Type

Medicare and Medicaid

Ownership

For profit - Corporation

Certified

May 13, 1974

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

4136.4 residents per day on average

Chain

Rollins-Nelson Healthcare Management8 facilities in the chain

Penalties (3 years)

1Fines totaling $17,745

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

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.

• Dale J Brent, MD

  • Internal Medicine Physician
  • Sherman Oaks, CA
  • NPI 1992886618

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Dale J Brent, MD

  • Internal Medicine Physician
  • Sherman Oaks, CA
  • NPI 1992886618
  NPD (past)

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

{
    "created_epoch": "1257984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432771200000",
    "number": "1942537907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1480 S LA CIENEGA BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900353715",
            "telephone_number": "310-652-3030",
            "fax_number": "310-652-0329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1480 S LA CIENEGA BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900353715",
            "telephone_number": "310-652-3030",
            "fax_number": "310-652-0329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLOWER VILLA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-12",
        "last_updated": "2015-05-28",
        "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": "310-652-3030",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "056438",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• 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 May 28, 2015; 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.