Grandview of Westover Hills LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

GRANDVIEW OF WESTOVER HILLS LLC

Doing business as

Lakeside Assisted Living

Practice address

8627 Lakeside Pkwy
San Antonio, TX 78245-3261

Phone

(210) 810-4900

Fax

(210) 670-0005

NPI assigned

Mar 12, 2019

Last updated

Oct 21, 2020By 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

Anand Patel

Title

Authorized Official

Phone

(469) 995-0911

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Lakeside Assisted Living Doing business as

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

{
    "created_epoch": "1552348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603238400000",
    "number": "1386102036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1422 CLARKVIEW RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212092385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8627 LAKESIDE PKWY",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782453261",
            "telephone_number": "210-810-4900",
            "fax_number": "210-670-0005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRANDVIEW OF WESTOVER HILLS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-12",
        "last_updated": "2020-10-21",
        "certification_date": "2020-10-21",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "ANAND",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "469-995-0911"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "105750",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lakeside Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Lakeside Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michael P. Granato, M.D.
• Nicole Granato, DDS
• Mark C. Granberry, PHARM.D.
• Ramona Granda-Rodriguez, MD
• Mark Granda
• Lara Alayna Granger, NP
• Granite Anesthesia (Granite Clinical Services)
• Andrea Joy Grant-Vermont, MD
• Adela Annette Grant, MSN, APRN, NNP-BC
• Andrine K Grant, M.D.

• Assisted Living Facility in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Assisted Living Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 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.