Active NPI
Grancare LLC
- Skilled Nursing Facility
- Santa Monica, CA
National Provider Identifier
1083687560
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 314000000
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LTC55808F | Medicaid | CA |
Other names 1
- The Rehabilitation Center of Santa Monica
National Provider Directory
National Provider DirectoryLocations
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.