Grand Madison Inc.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

GRAND MADISON INC.

Doing business as

Brickstone Manor

Practice address

20551 Madison St
Torrance, CA 90503-3670

Phone

(310) 872-8456

NPI assigned

Dec 16, 2024

Organization subpart

No

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

Authorized official

Name

Muqeet Dadabhoy

Title

President

Phone

(310) 251-2382

Specialties & licenses 1

Addresses

Other names 1

• Brickstone Manor Doing business as

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

{
    "created_epoch": "1734307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734307200000",
    "number": "1518774322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7785",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905049185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20551 MADISON ST",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905033670",
            "telephone_number": "310-872-8456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAND MADISON INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-16",
        "last_updated": "2024-12-16",
        "certification_date": "2024-12-16",
        "status": "A",
        "authorized_official_last_name": "DADABHOY",
        "authorized_official_first_name": "MUQEET",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-251-2382"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brickstone Manor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Carlos A Granados Quintanilla
• Nida Granados, LCSW
• Silvia Granados
• Hollie F Granato, PH.D.
• Grancare LLC (Driftwood Healthcare Center - Torrance)
• Brandon Grant
• Caleb Joseph Grant
• Carlette Grant
• Delainie Grant
• Nadiia Grant

• Assisted Living Facility in Torrance, CA
• Providers in Torrance, CA by specialty
• Assisted Living Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2024; 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.