Granada Healthcare & Rehabilitation Center, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

GRANADA HEALTHCARE & REHABILITATION CENTER, LLC

Practice address

2885 Harris St
Eureka, CA 95503-4808

Phone

(707) 443-1627

NPI assigned

Dec 30, 2005

Last updated

Mar 31, 2008By 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

Ms. Devin Shelby

Title

Administrator

Phone

(707) 443-1627

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1135900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206921600000",
    "number": "1306824248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2885 HARRIS ST",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955034808",
            "telephone_number": "707-443-1627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2885 HARRIS ST",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955034808",
            "telephone_number": "707-443-1627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRANADA HEALTHCARE & REHABILITATION CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-30",
        "last_updated": "2008-03-31",
        "status": "A",
        "authorized_official_last_name": "SHELBY",
        "authorized_official_first_name": "DEVIN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "707-443-1627",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZR06300K",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anne Marie Grady
• Robert Joseph Grady
• Jeff David Graham
• Timothy P. Graham, ASW
• Victoria Graham
• Granada Rehabilitation & Wellness Center, LP (Granada Rehabilitation & Wellness Center)
• Laura Granados
• Wendy Granberg
• Rebecca Grande
• Pamela Jean Grant, REGISTED NURSE

• Skilled Nursing Facility in Eureka, CA
• Providers in Eureka, 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 31, 2008; 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.