Organization Active NPI

Granite Hills Senior Living, Inc.

  • Assisted Living Facility
  • El Cajon, CA
National Provider Identifier
1104229012
Registry record updated Jun 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
GRANITE HILLS SENIOR LIVING, INC.
Practice address
768 Dorothy St
El Cajon, CA 92019-3101
Phone
(619) 444-8270
Fax
(619) 444-0872
NPI assigned
Oct 6, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2025

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

Authorized official

Name
Amber L Tueller
Title
Secretary
Phone
(208) 207-2726

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X CA Primary

Addresses

Primary practice location

768 Dorothy St
El Cajon, CA 92019-3101

Mailing address

768 Dorothy St
El Cajon, CA 92019-3101
Phone (619) 444-8270

Other names 1

  • Lo-Har Senior Living Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2210345Lo-Har Senior Living768 Dorothy St, El Cajon, CA 92019Certificate of waiverJan 20, 2027

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1412553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749600000000",
    "number": "1104229012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "768 DOROTHY ST",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920193101",
            "telephone_number": "619-444-8270",
            "fax_number": "619-444-0872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "768 DOROTHY ST",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920193101",
            "telephone_number": "619-444-8270",
            "fax_number": "619-444-0872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRANITE HILLS SENIOR LIVING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-06",
        "last_updated": "2025-06-11",
        "certification_date": "2025-06-11",
        "status": "A",
        "authorized_official_last_name": "TUELLER",
        "authorized_official_first_name": "AMBER",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "208-207-2726"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lo-Har Senior Living",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Lo-Har Senior Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in El Cajon, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.