Grossmont Skilled Care, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

GROSSMONT SKILLED CARE, INC.

Practice address

5480 Marengo Ave
La Mesa, CA 91942-2408

Phone

(619) 463-0281

NPI assigned

Dec 16, 2022

Organization subpart

No

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

Authorized official

Name

James Bender

Title

Vice President

Phone

(310) 430-2944

Specialties & licenses 2

Addresses

Other names 1

• Grossmont Gardens Healthcare Center Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Skilled nursing facility certification: CCN 555940

Legal name

GROSSMONT SKILLED CARE

Doing business as

GROSSMONT GARDENS HEALTHCARE CENTER

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Mar 16, 2026

Last certification

Feb 12, 2026

Beds

39

Ownership / control type

Corporation

Organization structure

CorporationProprietary

Incorporated

Nov 10, 2022 in CA

Enrollment address

5480 Marengo Ave
La Mesa, CA 91942-2408

Nursing home name

GROSSMONT GARDENS HEALTHCARE CENTER

Listed as

Grossmont Gardens Healthcare CenterCCN 555940

Type

Medicare and Medicaid

Ownership

For profit - Corporation

Certified

Mar 16, 2026

Medicare certification status

ActiveFrom the Provider of Services file

Processed by Care Compare on Aug 1, 2026.

All disclosed owners & managing parties 4

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

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

{
    "created_epoch": "1671148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787011200000",
    "number": "1003528456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N BARRANCA ST STE 200",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917911651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5480 MARENGO AVE",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919422408",
            "telephone_number": "619-463-0281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GROSSMONT SKILLED CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-16",
        "last_updated": "2026-08-18",
        "certification_date": "2026-08-18",
        "status": "A",
        "authorized_official_last_name": "BENDER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "310-430-2944"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grossmont Gardens Healthcare Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Monique Grover, PPS

• Skilled Nursing Facility in La Mesa, CA
• Providers in La Mesa, CA by specialty
• Skilled Nursing Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.