Lakeside Senior Living of Granite Bay

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

LAKESIDE SENIOR LIVING OF GRANITE BAY

Practice address

8365 Barton Rd
Granite Bay, CA 95746-9370

Phone

(916) 205-2273

NPI assigned

Mar 24, 2025

Organization subpart

No

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

Authorized official

Name

Adriana Stir

Title

Administrator

Phone

(916) 205-2273

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1742774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742774400000",
    "number": "1821899824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8365 BARTON RD",
            "city": "GRANITE BAY",
            "state": "CA",
            "postal_code": "957469370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8365 BARTON RD",
            "city": "GRANITE BAY",
            "state": "CA",
            "postal_code": "957469370",
            "telephone_number": "916-205-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKESIDE SENIOR LIVING OF GRANITE BAY",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-24",
        "last_updated": "2025-03-24",
        "certification_date": "2025-03-24",
        "status": "A",
        "authorized_official_last_name": "STIR",
        "authorized_official_first_name": "ADRIANA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "916-205-2273"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paige Kolodin
• Reya Kost, PSYD, LMFT
• Ganna Kozyk
• Anjana Kumari
• Bitisho B Kyubwa
• Cierrah Lambert
• Diana Nguyen Lau
• Brian M Lawton, DDS
• James Le
• Pamella Lechleitner

• Assisted Living Facility in Granite Bay, CA
• Providers in Granite Bay, 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 Mar 24, 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.