NPIMap

Organization Active NPI

Granite Healthcare, Inc.

  • Home Health Agency
  • Centennial, CO
National Provider Identifier
1003197344
Registry record updated Feb 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
GRANITE HEALTHCARE, INC.
Practice address
5161 E Arapahoe Rd Ste 320
Centennial, CO 80122-2385
Phone
(303) 730-3578
NPI assigned
Aug 31, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Lee Johnson
Title
Treasurer
Phone
(208) 401-1369

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

5161 E Arapahoe Rd Ste 320
Centennial, CO 80122-2385

Mailing address

5161 E Arapahoe Rd Ste 320
Centennial, CO 80122-2385
Phone (303) 730-3578

Other names 1

  • Namaste Home Health Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111222000163 CO Part A Provider - Home Health Agency 5496921439 Practice locations: Centennial, CO

Home health agency certification: CCN 067471

Legal name
GRANITE HEALTHCARE, INC.
Doing business as
NAMASTE HOME HEALTH
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Sep 11, 2008
Last certification
Oct 22, 2020
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Aug 30, 2011 in NV
Enrollment address
5161 E Arapahoe Rd
Ste 320
Centennial, CO 80122-2385

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Home health agency

Medicare Care Compare
Listed as
Namaste Home HealthCCN 067471
Overall star rating
4 of 5
Ownership
Proprietary
Certified
Sep 11, 2008
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory
Tax ID family
Granite Healthcare Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 8

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Jackie Zinkgraf Individual W-2 Managing EmployeeAdministrator Feb 1, 2022
Cornerstone Healthcare Inc Organization, Eagle, ID Corporation, For-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Nov 21, 2011 100%
Brent Mills Individual Corporate OfficerTreasurer Mar 26, 2026
Brent Guerisoli Individual Corporate DirectorDirector & Sole Board Member Jul 11, 2022
The Pennant Group Inc Organization, Eagle, ID Corporation, For-profit 5% Or Greater Indirect Ownership Interest Oct 1, 2019 100%
John J Gochnour Individual Corporate OfficerPresident Jul 23, 2024
Amber Tueller Individual Corporate OfficerSecretary Jul 23, 2024
Elliot McMillan Individual Corporate OfficerVice President Jun 26, 2018

Facilities with the same owner 141

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 141

Practitioners & affiliated clinicians

Affiliated clinicians 10

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1314748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707177600000",
    "number": "1003197344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5161 E ARAPAHOE RD STE 320",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801222385",
            "telephone_number": "303-730-3578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5161 E ARAPAHOE RD STE 320",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801222385",
            "telephone_number": "303-730-3578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRANITE HEALTHCARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-31",
        "last_updated": "2024-02-06",
        "certification_date": "2024-02-06",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "LEE",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "208-401-1369"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Namaste Home Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Namaste Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Centennial, CO

Sources for this page

Verify at the official NPI Registry.