Granite Hills Healthcare, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

GRANITE HILLS HEALTHCARE, INC.

Doing business as

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

Oct 9, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Gary D Devoir

Title

President

Phone

(619) 447-1020

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Granite Hills Convalescent Hospital Doing business as

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 Convalescent Hospital

  • Skilled Nursing Facility
  • El Cajon, CA
  • NPI 1134494826
  NPD tax ID

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

{
    "created_epoch": "1160352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1508953662",
    "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 HEALTHCARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DEVOIR",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "619-447-1020",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZT05392I",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Granite Hills Convalescent Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Donna Louise Grandi, LCCE, CD(DONA)
• Shyanne Naomi Hughes Grandi, LMFT, ATR-BC
• Granite Hills Convalescent Hospital
• Granite Hills Dental Team
• Granite Hills Healthcare & Wellness Centre, LLC
• Granite Hills Senior Living, Inc. (Lo-Har Senior Living)
• Trina D Grant
• Stephany Gravelle, PT, DPT
• Christopher Taylor Gray-Sprecco
• Heather Lyn Gray, RN

• 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 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.