Gridley Healthcare & Wellness Centre, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

230000047 Issued in CA

Legal business name

GRIDLEY HEALTHCARE & WELLNESS CENTRE, LLC

Practice address

246 Spruce St
Gridley, CA 95948-2216

Phone

(530) 846-6266

Fax

(530) 846-0331

NPI assigned

Apr 6, 2010

Last updated

Apr 6, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jonathan Weiss

Title

Ceo

Phone

(323) 634-1940

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1270512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1270512000000",
    "number": "1255656930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "246 SPRUCE ST",
            "city": "GRIDLEY",
            "state": "CA",
            "postal_code": "959482216",
            "telephone_number": "530-846-6266",
            "fax_number": "530-846-0331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "246 SPRUCE ST",
            "city": "GRIDLEY",
            "state": "CA",
            "postal_code": "959482216",
            "telephone_number": "530-846-6266",
            "fax_number": "530-846-0331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRIDLEY HEALTHCARE & WELLNESS CENTRE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-06",
        "last_updated": "2010-04-06",
        "status": "A",
        "authorized_official_last_name": "WEISS",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "323-634-1940"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "230000047",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZR18521H",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Gridley Scripts LLC (Gridley Pharmacy)
• Gridley Unified School District

• Skilled Nursing Facility in Gridley, CA
• Providers in Gridley, 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 Apr 6, 2010; 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.