Country Villa South Bay, LLC
NPI 1649264912ActiveOrganization· Skilled Nursing Facility· Long Beach, CA
Skilled Nursing Facility in Long Beach, California, registered in NPPES in September 2005. The authorized official on file is Stephen E. Reissman, Trustee Of Managing Member.
Overview
| NPI | 1649264912 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 1, 2005 |
| Last updated in NPPES | Jan 29, 2014 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Skilled Nursing Facility Primary | 314000000X | 940000082 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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