Gridley Healthcare & Wellness Centre, LLC
Organization Active NPI Skilled Nursing Facility · Gridley, CA
NPI 1598089351 · NPPES record last updated Mar 23, 2010
Key facts
- NPI
- 1598089351
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- Legal business name
- GRIDLEY HEALTHCARE & WELLNESS CENTRE, LLC
- Practice address
- 246 Spruce St
Gridley, CA 95948-2216 - Phone
- (530) 846-6266
- Fax
- (530) 846-0668
- NPI assigned
- Mar 23, 2010
- Organization subpart
- No
Authorized official
- Name
- Ms. Cheryl Petterson
- Title
- Vice President - Cams
- Phone
- (310) 574-3733
Corporate family (same tax ID) 1
National Provider Directory
- Tax ID family
- Evergreen at Gridley SNF LLC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | CA | Yes |
Addresses
Primary practice location
246 Spruce St
Gridley, CA 95948-2216
Mailing address
246 Spruce St
Gridley, CA 95948-2216
Phone (530) 846-6266
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 555124 | Other | CA | MEDICARE |
Other names
- GRIDLEY HEALTHCARE & WELLNESS CENTRE
Other providers in Gridley, CA
- Stacy L Frazer
- Rajwant K Gill I
- Raveen K Grewal
- Gridley Chiropractic Center
- Gridley Healthcare & Wellness Centre, LLC
- Gridley Medical Group, Inc
- Gridley Physical Therapy & Sports Medicine
- Gridley Scripts LLC
- Gridley Unified School District
- Jennifer Grining
All providers in Gridley, CA · Skilled Nursing Facility in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 23, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.