GRV a California Corporation

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

GRV A CALIFORNIA CORPORATION

Practice address

509 Michigan Blvd
West Sacramento, CA 95691-2705

Phone

(916) 713-5110

NPI assigned

Jan 14, 2022

Organization subpart

No

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

Authorized official

Name

Mark J Cimino

Title

Ceo

Phone

(916) 704-6275

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1642118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642118400000",
    "number": "1801547484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7405 GREENBACK LANE",
            "address_2": "336",
            "city": "CITRUS HEIGHTS",
            "state": "CA",
            "postal_code": "95610",
            "telephone_number": "916-486-9639",
            "fax_number": "916-750-5701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 MICHIGAN BLVD",
            "city": "WEST SACRAMENTO",
            "state": "CA",
            "postal_code": "956912705",
            "telephone_number": "916-713-5110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRV A CALIFORNIA CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-14",
        "last_updated": "2022-01-14",
        "certification_date": "2022-01-14",
        "status": "A",
        "authorized_official_last_name": "CIMINO",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "916-704-6275"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "maurquitta.terrell@ciminocare.com",
            "affiliation": "N",
            "endpointDescription": "Administrative Service Manager",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3401 Walnut Ave Rm L",
            "city": "Carmichael",
            "state": "CA",
            "country_code": "US",
            "postal_code": "956083241",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Aaron Graves
• Greater Sacramento Med Clinic
• Daria Gregory, PAC
• Gabriella Grijlava
• Stephen Dorian Grove
• Elena Guslikov, NP
• Jacqueline Gutierrez
• Jenna Haag
• Brian Arthur Haesloop
• David Nathan Hafter, MFT

• Assisted Living Facility in West Sacramento, CA
• Providers in West Sacramento, CA by specialty
• Assisted Living Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 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.