Grancare LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

GRANCARE LLC

Doing business as

Fremont Healthcare Center

Practice address

39022 Presidio Way
Fremont, CA 94538-1221

Phone

(510) 792-3743

NPI assigned

Feb 7, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Andrea Saavedra

Title

Regional Financial Analyst

Phone

(707) 208-1940

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Fremont Healthcare Center Doing business as

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

{
    "created_epoch": "1139270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1366414906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39022 PRESIDIO WAY",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945381221",
            "telephone_number": "510-792-3743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39022 PRESIDIO WAY",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945381221",
            "telephone_number": "510-792-3743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRANCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SAAVEDRA",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "REGIONAL FINANCIAL ANALYST",
        "authorized_official_telephone_number": "707-208-1940",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZR06442I",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fremont Healthcare Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Andrea Danielle Gottfried
• Lina S. Gourova, MD
• Natarajan Gowda, PH.D., LCSW
• Jacklin S. Grammer, MD
• Victor Granado
• Grand Wheelchair & Medical Supply Inc
• Breanne M Grasso, OTR/L
• Kyle Grattidge
• Chloe Wanda Greely
• Brandon Green, PPSC, CWA

• Skilled Nursing Facility in Fremont, CA
• Providers in Fremont, 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 Aug 22, 2020; 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.