CG2, LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

CG2, LLC

Doing business as

Comfort Keepers Monterey Bay

Practice address

1815-D Contra Costa
Sand City, CA 93955

Phone

(831) 886-0475

Fax

(831) 855-0157

NPI assigned

Jun 26, 2023

Last updated

Jun 26, 2023By 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

Charles Peter GrandelliNPI 1427762376

Title

Owner

Phone

(831) 886-0475

Specialties & licenses 1

Addresses

Other names 1

• Comfort Keepers Monterey Bay Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Charles Peter Grandelli

  • Home Health Aide
  • Sand City, CA
  • NPI 1427762376
  NPD Authorized official

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

{
    "created_epoch": "1687737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687737600000",
    "number": "1568148476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11773 FRANCIS DR",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "959496681",
            "telephone_number": "831-886-0475",
            "fax_number": "831-855-0157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1815-D CONTRA COSTA",
            "city": "SAND CITY",
            "state": "CA",
            "postal_code": "93955",
            "telephone_number": "831-886-0475",
            "fax_number": "831-855-0157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CG2, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-26",
        "last_updated": "2023-06-26",
        "certification_date": "2023-06-26",
        "status": "A",
        "authorized_official_last_name": "GRANDELLI",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "PETER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "831-886-0475"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Comfort Keepers Monterey Bay",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• In Home Supportive Care Agency in Sand City, CA
• Providers in Sand City, CA by specialty
• In Home Supportive Care Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2023; 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.