Provider Demographics
NPI:1235524158
Name:BARRINGTON VILLA RETIREMENT HOME INC
Entity Type:Organization
Organization Name:BARRINGTON VILLA RETIREMENT HOME INC
Other - Org Name:REGENT VILLA RETIREMENT HOME
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:SETH
Authorized Official - Middle Name:
Authorized Official - Last Name:BIENSTOCK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:562-595-6529
Mailing Address - Street 1:201 W WARDLOW RD
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90807-4428
Mailing Address - Country:US
Mailing Address - Phone:562-595-6529
Mailing Address - Fax:
Practice Address - Street 1:201 W WARDLOW RD
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90807-4428
Practice Address - Country:US
Practice Address - Phone:562-595-6529
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-30
Last Update Date:2015-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA191600813310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility