Organization Active NPI

Grand Enterprise Inc.

  • Adult Care Home Facility
  • Riverside, CA
National Provider Identifier
1538307400
Registry record updated Jan 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
Legal business name
GRAND ENTERPRISE INC.
Practice address
8595 Philbin Ave
Riverside, CA 92503-1834
Phone
(951) 509-6826
NPI assigned
Jan 29, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2009

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

Authorized official

Name
Yolany Shirazi
Title
Ceo
Phone
(951) 509-6826

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X CA Primary

Addresses

Primary practice location

8595 Philbin Ave
Riverside, CA 92503-1834

Mailing address

8595 Philbin Ave
Riverside, CA 92503-1834
Phone (951) 509-6826

National Provider Directory

National Provider Directory

Locations

8595 Philbin Ave
Riverside, CA 92503
Phone (951) 509-6826

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1233187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233187200000",
    "number": "1538307400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8595 PHILBIN AVE",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925031834",
            "telephone_number": "951-509-6826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8595 PHILBIN AVE",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925031834",
            "telephone_number": "951-509-6826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAND ENTERPRISE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-29",
        "last_updated": "2009-01-29",
        "status": "A",
        "authorized_official_last_name": "SHIRAZI",
        "authorized_official_first_name": "YOLANY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "951-509-6826"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2009; 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.