| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1023262029 | | | | SAN MARINO SKILLED NURSING AND WELLNESS CENTRE | 5120 W GODLLEAF CIRCLE | LOS ANGELES | CA | 90056 |
| 1083608293 | | | | COUNTRY VILLA IMPERIAL LLC | 5120 W GOLDLEAF CIR | LOS ANGELES | CA | 900561292 |
| 1104810159 | | | | COUNTRY VILLA SOUTH BAY, LLC | 5120 W GOLDLEAF CIR | LOS ANGELES | CA | 900561292 |
| 1447244801 | | | | COUNTRY VILLA SOUTH BAY, LLC | 5120 W GOLDLEAF CIR | LOS ANGELES | CA | 900561292 |
| 1477547750 | | | | MOUNTAINSIDE OPERATING COMPANY, LLC | 5120 W GOLDLEAF CIR | LOS ANGELES | CA | 900561292 |
| 1588997431 | | | | COUNTRY VILLA SERVICE CORP. | 5120 W GOLDLEAF CIR STE 400 | LOS ANGELES | CA | 900561297 |
| 1649264912 | | | | COUNTRY VILLA SOUTH BAY, LLC | 5120 W GOLDLEAF CIR | LOS ANGELES | CA | 900561292 |
| 1669661716 | | | | PETALUMA SKILLED NURSING & WELLNESS CENTRE, LLC | 5120 W GOLDLEAF CIR | LOS ANGELES | CA | 900561292 |
| 1679567853 | | | | COUNTRY VILLA PLAZA, A CA LTD. PARTNERSHIP | 5120 W GOLDLEAF CIR | LOS ANGELES | CA | 900561292 |
| 1720073059 | | | | CHEVIOT GARDEN LP | 5120 W GOLDLEAF CIR | LOS ANGELES | CA | 900561292 |
| 1750375705 | | | | COUNTRY VILLA WESTWOOD, A CA LTD | 5120 W GOLDLEAF CIR | LOS ANGELES | CA | 900561292 |
| 1811982176 | | | | COUNTRY VILLA PARK MARINO HEALTHCARE CENTER, LLC | 5120 W GOLDLEAF CIR | LOS ANGELES | CA | 900561292 |
| 1952395147 | | | | COUNTRY VILLA NURSING CENTER, INC. | 5120 W GOLDLEAF CIR | LOS ANGELES | CA | 900561292 |
| 1982698882 | | | | COUNTRY VILLA CLAREMONT HEALTHCARE CENTER, INC. | 5120 W GOLDLEAF CIR | LOS ANGELES | CA | 900561292 |
| 1982960209 | | | | SHERATON HEALTHCARE CENTER LLC | 5120 W GOLDLEAF CIR STE 400 | LOS ANGELES | CA | 900561297 |