Grass Valley Care Center, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

230000134 Issued in CA

Legal business name

GRASS VALLEY CARE CENTER, INC.

Practice address

107 Catherine LN
Grass Valley, CA 95945-5705

Phone

(530) 273-4447

Fax

(530) 273-6849

NPI assigned

Jul 19, 2005

Last updated

Jun 10, 2008By the provider in NPPES

Organization subpart

Yes

Parent organization

HORIZON WEST HEALTHCARE OF CALIFORNIA INCAs reported in NPPES

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

Authorized official

Name

Larry E Bear

Title

Chief Executive Officer

Phone

(916) 624-6230

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Holiday Hill Convalescent Hospital, Inc. Former legal business name

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

{
    "created_epoch": "1121731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213056000000",
    "number": "1831198142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4020 SIERRA COLLEGE BLVD",
            "address_2": "SUITE #190",
            "city": "ROCKLIN",
            "state": "CA",
            "postal_code": "956773906",
            "telephone_number": "916-624-6230",
            "fax_number": "916-624-6242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 CATHERINE LN",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "959455705",
            "telephone_number": "530-273-4447",
            "fax_number": "530-273-6849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRASS VALLEY CARE CENTER, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HORIZON WEST HEALTHCARE OF CALIFORNIA INC",
        "enumeration_date": "2005-07-19",
        "last_updated": "2008-06-10",
        "status": "A",
        "authorized_official_last_name": "BEAR",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "916-624-6230"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "230000134",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZR05512H",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Holiday Hill Convalescent Hospital, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Granite Wellness Centers (Grass Valley Campus Residential Program)
• Granite Wellness Centers (Grass Valley Campus)
• Carol Marie Grant
• Cynthia Zoellin Grapel
• Grass Valley Cardiology Medical Group
• Grass Valley Chiropractic
• Grass Valley Extended Care Inc
• Grass Valley Eye Care Optometric, Inc.
• Grass Valley Hematology/Oncology Med GRP
• Grass Valley Hope Medical Group

• Skilled Nursing Facility in Grass Valley, CA
• Providers in Grass Valley, CA by specialty
• Skilled Nursing Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2008; 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.