Country Villa Park Marino Healthcare Center, Llc

NPI: 1811982176

Country Villa Park Marino Healthcare Center, Llc

Q: What is Country Villa Park Marino Healthcare Center, Llc's provider type?

Country Villa Park Marino Healthcare Center, Llc is an Organization under CMS NPI Type 2.

ActiveOrganizationSpecialty not listed

NPI issued: September 13, 2005

Quick Facts

NPI Number

1811982176

TypeOrganization

StatusActive

SpecialtySpecialty not listed

Taxonomy314000000X — Specialty not listed

Phone

(626) 463-4105

StateCA

NPI Validation Status: Verified

✅Valid 10-digit NPI number (1811982176)

✅Active status confirmed

✅Verified by CMS NPPES Registry

✅HIPAA compliant identifier

✅Enumeration date on file (September 13, 2005)

Data source: CMS NPPES

Provider Overview

COUNTRY VILLA PARK MARINO HEALTHCARE CENTER, LLC is a Healthcare provider based in Pasadena, CA who has been registered with CMS since 2005. They are affiliated with Country Villa Park Marino Healthcare Center. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1811982176

Provider TypeOrganization

StatusActive

Enumeration DateSeptember 13, 2005

Practice Location

CityPasadena

StateCA

ZIP Code91107-1446

Phone(626) 463-4105

Specialties & Licenses

★ Primary

SpecialtySpecialty not listed

Taxonomy Code314000000X

License StateCA

Mailing Address

CityPasadena

StateCA

ZIP Code91107-1446

Phone(626) 463-4105

Same as practice location

Hospital & Organization Affiliations

🏢

Country Villa Park Marino Healthcare Center

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How to Use This NPI

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For Insurance Billing

Use NPI 1811982176 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

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For Credentialing

Reference NPI 1811982176for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1811982176 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Specialty not listed

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