Grand Avenue Home
Intermediate care facility for individuals with intellectual disabilities in Glendora, CA, Medicare certification number 55G287.
Medicare certification
Provider of Services- CCN
- 55G287
- Status
- Active
- Provider type
- Intermediate care facility for individuals with intellectual disabilities
- Control type
- Private (proprietary)
- Participating since
- Aug 18, 1999
- Last certification
- Jan 14, 2026
- Beds
- 6
- Address
- 412 North Grand Avenue
Glendora, CA 91741
(626) 857-0542
NPI records for this facility (CCN to NPI Mapping) 1
-
dba Grand Ave Home
- Intellectual Disabilities Intermediate Care Facility
- Glendora, CA
- NPI 1174650394
Name & address match
Sources for this page
- Provider of Services: the certification, provider type, beds and status.
- Medicare Care Compare: the star rating and every measure on this page, with the state and national rates CMS publishes beside them.
- NPPES NPI Registry: the NPI records connected to this certification.