Grandmas Care Home Inc

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

RC844 Issued in ID

Legal business name

GRANDMAS CARE HOME INC

Practice address

8418 West Lajolla Street
Boise, ID 83709-5194

Phone

(208) 362-9800

Fax

(208) 362-9802

NPI assigned

Mar 31, 2006

Last updated

Aug 22, 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

Randall S Beck

Title

Secretary Treasurer

Phone

(208) 362-9800

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1143763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1518928282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 191037",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837191037",
            "telephone_number": "208-362-9800",
            "fax_number": "208-362-9802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8418 WEST LAJOLLA STREET",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837095194",
            "telephone_number": "208-362-9800",
            "fax_number": "208-362-9802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRANDMAS CARE HOME INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BECK",
        "authorized_official_first_name": "RANDALL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "SECRETARY TREASURER",
        "authorized_official_telephone_number": "208-362-9800"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "ID",
            "license": "RC844",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Alexander Gramlich, PH.D.
• Raymond William Grams II, D.O.
• Kenneth John Gramyk, M.D.
• Grande Ronde Hospital, Inc
• Caitlin Grandfield, LCGC
• Brooklyn McNeil Grange
• Clarissa Dawn Grange, LMSW
• Daniel Lee Grange, D.O.
• Landon Kelly Grange, M.D.
• Granite Mountain Surgery PLLC

• Assisted Living Facility in Boise, ID
• Providers in Boise, ID by specialty
• Assisted Living Facility in Idaho

• 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.