Active NPI
Granite Hills Senior Living, Inc.
- Assisted Living Facility
- El Cajon, CA
National Provider Identifier
1104229012
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2210345 | Lo-Har Senior Living | Certificate of waiver | Jan 20, 2027 |
National Provider Directory
National Provider DirectoryNPI 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.