Grancare LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

GRANCARE LLC

Practice address

3050 Montrose Ave
La Crescenta, CA 91214-3619

Phone

(818) 957-0850

NPI assigned

Feb 8, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Andrea Saavedra

Title

Regional Financial Analyst

Phone

(707) 208-1940

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Verdugo Vista Health Care Center Doing business as

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

{
    "created_epoch": "1139356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1851364194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3050 MONTROSE AVE",
            "city": "LA CRESCENTA",
            "state": "CA",
            "postal_code": "912143619",
            "telephone_number": "818-957-0850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3050 MONTROSE AVE",
            "city": "LA CRESCENTA",
            "state": "CA",
            "postal_code": "912143619",
            "telephone_number": "818-957-0850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRANCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SAAVEDRA",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "REGIONAL FINANCIAL ANALYST",
        "authorized_official_telephone_number": "707-208-1940",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZT05960K",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Verdugo Vista Health Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• James Alan Godwin, CCC-SLP
• Gold Coast Hospice Inc
• Jerri Goodman, MFT
• Kristin Renee Goradietsky
• Asmik Goukasian, LAC MD
• Amanda Granier, LCSW
• Amanda Rose Granier
• Robert Sar Greenburg, M.D.
• Raymond Grigorian, D.D.S
• Dana Richardson Grip, PHD

• Skilled Nursing Facility in La Crescenta, CA
• Providers in La Crescenta, 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 Aug 22, 2020; 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.