Granville Opco, LLC

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

GRANVILLE OPCO, LLC

Practice address

200 Coventry Dr
Oxford, NC 27565-4005

Phone

(919) 742-4052

NPI assigned

Oct 1, 2019

Organization subpart

No

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

Authorized official

Name

Ms. Charles E Trefzger Jr.

Title

Manager

Phone

(828) 270-0651

Specialties & licenses 2

Addresses

Other names 1

• Granville House Doing business as

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

{
    "created_epoch": "1569888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663200000000",
    "number": "1780225748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 COVENTRY DR",
            "city": "OXFORD",
            "state": "NC",
            "postal_code": "275654005",
            "telephone_number": "919-742-4052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 COVENTRY DR",
            "city": "OXFORD",
            "state": "NC",
            "postal_code": "275654005",
            "telephone_number": "919-742-4052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRANVILLE OPCO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-01",
        "last_updated": "2022-09-15",
        "certification_date": "2022-09-15",
        "status": "A",
        "authorized_official_last_name": "TREFZGER",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "828-270-0651",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Granville House",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Granville House",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Granville Health System
• Granville Health System
• Granville Health System
• Granville Health System Endoscopy Center LLC
• Granville House
• Granville-Vance District Health Department
• Granville-Vance District Health Department
• Granville-Vance District Health Department
• Stefan Greenlee, PT
• Alisa Zenora Gregory

• Adult Care Home Facility in Oxford, NC
• Providers in Oxford, NC by specialty
• Adult Care Home Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2022; 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.