Organization Active NPI

Grancare LLC

  • Skilled Nursing Facility
  • Santa Monica, CA
National Provider Identifier
1083687560
Registry record updated Apr 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
314000000 Issued in CA
Legal business name
GRANCARE LLC
Practice address
1338 20TH St
Santa Monica, CA 90404-2034
Phone
(310) 255-2800
NPI assigned
Feb 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2014

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

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 314000000 CA Primary

Addresses

Primary practice location

1338 20TH St
Santa Monica, CA 90404-2034

Mailing address

1338 20TH St
Santa Monica, CA 90404-2034
Phone (310) 255-2800

Other identifiers 1

IdentifierTypeStateIssuer
LTC55808FMedicaidCA

Other names 1

  • The Rehabilitation Center of Santa Monica Doing business as

National Provider Directory

National Provider Directory

Locations

1388 20TH St
Santa Monica, CA 90404

NPI Registry JSON

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

{
    "created_epoch": "1139270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398729600000",
    "number": "1083687560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1338 20TH ST",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904042034",
            "telephone_number": "310-255-2800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1338 20TH ST",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904042034",
            "telephone_number": "310-255-2800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRANCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-07",
        "last_updated": "2014-04-29",
        "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": "314000000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LTC55808F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Rehabilitation Center of Santa Monica",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Santa Monica, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2014; 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.