Grancare LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

GRANCARE LLC

Doing business as

Skyline Healthcare Center - Los Angeles

Practice address

3032 Rowena Ave
Los Angeles, CA 90039-2005

Phone

(323) 665-1185

NPI assigned

Feb 7, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Andrea Saavedra

Title

Regional Financial Analyst

Phone

(707) 208-1940

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Skyline Healthcare Center - Los Angeles Doing business as

Tax ID family

Grancare LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Skyline Healthcare & Wellness Center, LLC

  dba Skyline Healthcare Center

  • Skilled Nursing Facility
  • Los Angeles, CA
  • NPI 1487970927
  NPD tax ID

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

{
    "created_epoch": "1139270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1023080660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3032 ROWENA AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900392005",
            "telephone_number": "323-665-1185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3032 ROWENA AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900392005",
            "telephone_number": "323-665-1185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRANCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SAAVEDRA",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "REGIONAL FINANCIAL ANALYST",
        "authorized_official_telephone_number": "707-208-1940",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZT05783H",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Skyline Healthcare Center - Los Angeles",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Leonardo O Granados, PA-C
• Magaly Granados
• Margoth Granados
• Maria Isabelle Granados
• Anna Granat
• Grand Anesthesia and Nursing Services Inc
• Grand Avenue Imaging
• Grand Avenue Surgery Center, LLC
• Grand Gi & Endoscopy Group, Inc. (Yonsei Endoscopy Center)
• Grand Gi & Endoscopy Group, Inc. (Grand Endoscopy Center)

• Skilled Nursing Facility in Los Angeles, CA
• Providers in Los Angeles, 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 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.