NPIMap

Organization Active NPI

Grandview Foundation, Inc.

  • Substance Abuse Rehabilitation Facility
  • Pasadena, CA
National Provider Identifier
1669923611
Registry record updated Mar 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
190022AN Issued in CA
Legal business name
GRANDVIEW FOUNDATION, INC.
Practice address
225 Grandview Street
Pasadena, CA 91104
Phone
(626) 797-1124
Fax
(626) 398-5984
NPI assigned
Oct 14, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2018

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

Authorized official

Name
Ms. Lindy Rae Carll, B.A. J.D.
Title
Executive Director
Phone
(626) 797-1124

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 190022AN CA Primary

Addresses

Primary practice location

225 Grandview Street
Pasadena, CA 91104

Mailing address

1230 North Marengo Avenue
Pasadena, CA 91103-2217
Phone (626) 797-1124

Other identifiers 1

IdentifierTypeStateIssuer
6736OtherCADRUG MEDI-CAL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2230452Grandview Foundation Inc225 Grandview Foundation, Inc, Pasadena, CA 91104Certificate of waiverJul 22, 2027

National Provider Directory

National Provider Directory
Tax ID family
Grandview Foundation Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 30

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

View all 30

NPI Registry JSON

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

{
    "created_epoch": "1476403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522108800000",
    "number": "1669923611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1230 NORTH MARENGO AVENUE",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911032217",
            "telephone_number": "626-797-1124",
            "fax_number": "626-398-9674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 GRANDVIEW STREET",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "91104",
            "telephone_number": "626-797-1124",
            "fax_number": "626-398-5984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRANDVIEW FOUNDATION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-14",
        "last_updated": "2018-03-27",
        "status": "A",
        "authorized_official_last_name": "CARLL",
        "authorized_official_first_name": "LINDY",
        "authorized_official_middle_name": "RAE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "626-797-1124",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "B.A. J.D."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CA",
            "license": "190022AN",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRUG MEDI-CAL",
            "identifier": "6736",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.