Villa de la Mar Inc
NPI 1831197235ActiveOrganization· Skilled Nursing Facility· Long Beach, CA
Skilled Nursing Facility in Long Beach, California, registered in NPPES in July 2005. The authorized official on file is John Mitchell, Secretary. Enrolled in Medicare as part a provider - skilled nursing facility.
Overview
| NPI | 1831197235 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 8, 2005 |
| Last updated in NPPES | Aug 20, 2024 |
| Certified by provider | Aug 20, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Skilled Nursing Facility Primary | 314000000X | 940000013 | 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) | Enrolled Part A Provider - Skilled Nursing Facility (CA) |
|---|
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