Granite Hills Convalescent Hospital

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

090000097 Issued in CA

Legal business name

GRANITE HILLS CONVALESCENT HOSPITAL

Practice address

1340 E Madison Ave
El Cajon, CA 92021-8501

Phone

(619) 447-1020

Fax

(619) 447-1024

NPI assigned

Mar 14, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Larry Blitz

Title

Interim Manager

Phone

(619) 447-1020

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Granite Hills Convalescent Hospital2 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.

• Granite Hills Healthcare, Inc.

  • Skilled Nursing Facility
  • El Cajon, CA
  • NPI 1508953662
  NPD tax ID

Locations

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

{
    "created_epoch": "1331683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331683200000",
    "number": "1134494826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1340 E MADISON AVE",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920218501",
            "telephone_number": "619-447-1020",
            "fax_number": "619-447-1024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1340 E MADISON AVE",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920218501",
            "telephone_number": "619-447-1020",
            "fax_number": "619-447-1024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRANITE HILLS CONVALESCENT HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-14",
        "last_updated": "2012-03-14",
        "status": "A",
        "authorized_official_last_name": "BLITZ",
        "authorized_official_first_name": "LARRY",
        "authorized_official_title_or_position": "INTERIM MANAGER",
        "authorized_official_telephone_number": "619-447-1020",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "090000097",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CA080000086",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Deasia Graham
• Khristapher Floyd Graham
• Mandi Lynn Graham, MA, CCC-SLP
• Donna Louise Grandi, LCCE, CD(DONA)
• Shyanne Naomi Hughes Grandi, LMFT, ATR-BC
• Granite Hills Dental Team
• Granite Hills Healthcare & Wellness Centre, LLC
• Granite Hills Healthcare, Inc.
• Granite Hills Senior Living, Inc.
• Trina D Grant

• Skilled Nursing Facility in El Cajon, CA
• Providers in El Cajon, 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 Mar 14, 2012; 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.