MEDICARE: VILLA CHARESA LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	310400000X	Assisted Living Facility

General Provider Information

NPI Number	:	1992636500
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VILLA CHARESA LLC

Provider Business Mailing Address
First Line	:	2451 W 235TH ST
Second Line	:
City	:	TORRANCE
State	:	CA
Zip	:	90501-5710
Country	:	US
Telephone Number	:	310-404-1678
Fax Number	:

Provider Business Practice Location Address
First Line	:	2451 W 235TH ST
Second Line	:
City	:	TORRANCE
State	:	CA
Zip	:	90501-5710
Country	:	US
Telephone Number	:	310-404-1678
Fax Number	:

Authorized Official
Title or Position	:	ADMINSTRATION
Name	:	MS. CHARESA REYES
Credential	:	LICENSEE
Telephone Number	:	310-404-1678

Provider Enumeration Date	:	05/25/2026
Last Update Date	:	05/25/2026

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Directions to “VILLA CHARESA LLC ” Practice Location

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