# CENTURY VILLA, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1427399633
- **Authorized official:** VICKI ROLLINS RN,BSN,NHA (VICE-PRESIDENT)
- **Authorized official phone:** (714) 323-8270

## Contact information

- **Practice address:** 805 W ARROW HWY, GLENDORA, CA 91740-5413
- **Practice address phone:** (714) 323-8270
- **Mailing address:** 310 CENTINELA AVE., INGLEWOOD, CA 90302
- **Mailing address phone:** (714) 323-8270

## Taxonomy

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

## Other

- **Enumeration date:** 03/13/2013
- **Last updated:** 03/13/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 206190106 | OSHPD NUMBER | CA |
| 01 | — | 555368 | MEDICARE PTN | — |
| 05 | — | LTC55368H | — | CA |