Organization Active NPI

Granite Spring Care Home I Inc

  • Assisted Living Facility
  • Roseville, CA
National Provider Identifier
1629956222
Registry record updated Aug 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
GRANITE SPRING CARE HOME I INC
Practice address
208 Aerie CT
Roseville, CA 95661-4063
Phone
(916) 952-4192
Fax
(916) 899-6402
NPI assigned
Aug 22, 2025
Last updated
Aug 22, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2025

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

Authorized official

Name
Natalya Foksha
Title
Administrator
Phone
(916) 952-4192

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X NU Primary

Addresses

Primary practice location

208 Aerie CT
Roseville, CA 95661-4063

Mailing address

208 Aerie CT
Roseville, CA 95661-4063
Phone (916) 952-4192

Other practice location 1

6206 Goldeneye Ct
Rocklin, CA 95765-5825
Phone (916) 879-4405

Other practice location 2

1941 Frensham Dr
Roseville, CA 95661-3204
Phone (916) 952-4192

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1755820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755820800000",
    "number": "1629956222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 AERIE CT",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956614063",
            "telephone_number": "916-952-4192",
            "fax_number": "916-899-6402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 AERIE CT",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956614063",
            "telephone_number": "916-952-4192",
            "fax_number": "916-899-6402"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6206 Goldeneye Ct",
            "address_purpose": "LOCATION",
            "city": "Rocklin",
            "state": "CA",
            "postal_code": "957655825",
            "country_code": "US",
            "telephone_number": "916-879-4405",
            "fax_number": "916-899-6402",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1941 Frensham Dr",
            "address_purpose": "LOCATION",
            "city": "Roseville",
            "state": "CA",
            "postal_code": "956613204",
            "country_code": "US",
            "telephone_number": "916-952-4192",
            "fax_number": "916-899-6402",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GRANITE SPRING CARE HOME I INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-22",
        "last_updated": "2025-08-22",
        "certification_date": "2025-08-22",
        "status": "A",
        "authorized_official_last_name": "FOKSHA",
        "authorized_official_first_name": "NATALYA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "916-952-4192"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2025; 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.