# BELMONT HEIGHTS HEALTHCARE CENTER LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Country Villa Belmont Heights Healthcare Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1891051355
- **Authorized official:** MR. STEPHEN REISSMAN (CEO/CHAIRMAN)
- **Authorized official phone:** (310) 574-3733

## Contact information

- **Practice address:** 1730 GRAND AVE, LONG BEACH, CA 90804-2011
- **Practice address phone:** (323) 596-2145
- **Practice address fax:** (323) 596-4645
- **Mailing address:** 5120 W GOLDLEAF CIR STE 400, LOS ANGELES, CA 90056-1297
- **Mailing address phone:** (323) 596-2145
- **Mailing address fax:** (323) 596-4645

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 940000082 | CA | Yes |

## Other

- **Enumeration date:** 04/09/2012
- **Last updated:** 02/07/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | LTC70129F | — | CA |
| 05 | — | ZZT05077H | — | CA |