Granite View Adult Care Home LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL8343H Issued in AZ

Legal business name

GRANITE VIEW ADULT CARE HOME LLC

Practice address

7105 Williamson Valley Road
Prescott, AZ 86305

Phone

(928) 778-0002

Fax

(928) 778-1207

NPI assigned

Mar 1, 2018

Organization subpart

No

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

Authorized official

Name

Ms. Karen S Jones

Title

Manager

Phone

(928) 533-4472

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1519862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519862400000",
    "number": "1972005395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11805",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "86304",
            "telephone_number": "928-778-0002",
            "fax_number": "928-778-1207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7105 WILLIAMSON VALLEY ROAD",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "86305",
            "telephone_number": "928-778-0002",
            "fax_number": "928-778-1207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRANITE VIEW ADULT CARE HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-01",
        "last_updated": "2018-03-01",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "928-533-4472",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "AZ",
            "license": "AL8343H",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Damon John Grandy, PT, DPT
• Granite Mountain Health LLC
• Granite Mountain Medical, PLLC
• Granite Mountain Neurology, PC
• Granite Orthopaedics PLLC
• April Gray, LMSW
• Dee Gray, LCSW
• Jennifer Diane Gray, LCSW
• Laura Gray, FNP-C
• David Andrew Green, M.D.

• Assisted Living Facility in Prescott, AZ
• Providers in Prescott, AZ by specialty
• Assisted Living Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2018; 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.