Basic Information
| Provider Information | |||||||||
| NPI: | 1841606845 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | WESTVILLA, INC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 540 W MONTE VISTA AVE | ||||||||
| Address2: | |||||||||
| City: | VACAVILLE | ||||||||
| State: | CA | ||||||||
| PostalCode: | 956883620 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7074493400 | ||||||||
| FaxNumber: | 7074500954 | ||||||||
| Practice Location | |||||||||
| Address1: | 7057 SHOUP AVE | ||||||||
| Address2: | |||||||||
| City: | WEST HILLS | ||||||||
| State: | CA | ||||||||
| PostalCode: | 913072335 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8182519711 | ||||||||
| FaxNumber: | 5109910071 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/10/2014 | ||||||||
| LastUpdateDate: | 07/10/2014 | ||||||||
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| AuthorizedOfficialLastName: | SINGH | ||||||||
| AuthorizedOfficialFirstName: | TRILOCHAN | ||||||||
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| AuthorizedOfficialTitleorPosition: | COO | ||||||||
| AuthorizedOfficialTelephone: | 5104681909 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 314000000X | 920000037 | CA | Y | Nursing & Custodial Care Facilities | Skilled Nursing Facility |
No ID Information.