# VILLA ELENA CONVALESCENT HOSPITAL INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Villa Elena Healthcare Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376516377
- **Authorized official:** JAMES B. KILIAN (CHIEF FINANCIAL OFFICER)
- **Authorized official phone:** (909) 796-2595

## Contact information

- **Practice address:** 13226 STUDEBAKER RD, NORWALK, CA 90650-2532
- **Practice address phone:** (562) 868-0591
- **Practice address fax:** (562) 929-2185
- **Mailing address:** PO BOX 3000, LOMA LINDA, CA 92354-9000
- **Mailing address phone:** (909) 796-2595
- **Mailing address fax:** (909) 796-8797

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 940000172 | CA | Yes |

## Other

- **Enumeration date:** 02/09/2006
- **Last updated:** 11/30/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 940000172 | STATE LICENSE NUMBER | CA |
| 05 | — | ZZT06032F | — | CA |