GRAND CHALET


Address: 328 Kimberly Dr, American Canyon, CA 94503-1340
Phone: 7076434843

GRAND CHALET (NPI# 1124209507) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1124209507
Entity Type Organization
Organization Name GRAND CHALET
Other Organization Name ABILITIES TO ACHIEVE, INC.
Practice Address 328 Kimberly Dr
American Canyon
CA 94503-1340
Practice Telephone 7076434843
Enumeration Date 2007-11-14
Last Update Date 2007-11-14
Authorized Official Name MRS. CLAIRE LIZETH HOLCOMB (BOOKKEEPER)
Authorized Official Telephone 7076434843
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 315P00000X Intermediate Care Facility, Mentally Retarded CA Nursing & Custodial Care Facilities

Other Provider/Organization Names

Other Name Type Code
Abilities to Achieve, Inc. Other Name - Individual/Organization

Other Data Sources

Entity Type Entity Name Entity Address
Colorado Business Entities Grand Chalet Getaways Management 197 County Rd. 823, Tabernash, CO 80478
Colorado Business Entities Grand Chalet, LLC 450 Cook St, Denver, CO 80206-4425

Office Location

Street Address 328 KIMBERLY DR
City AMERICAN CANYON
State CA
Zip Code 94503-1340

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1134540073 Zhz-zhz Li Vasquz-z Acupuncturist 126 Tapestry Lane, American Canyon, CA 94503 2013-12-19
1649611781 Barbara Perry Social Worker 101 W American Canyon Rd Ste 508-171, American Canyon, CA 94503 2013-07-16
1053694554 Lucia J Mijares Pharmacist 127 Summerwood Drive, American Canyon, CA 94503 2011-09-21
1285771725 Marichelle Montano Othman Internal Medicine 3431 Napa-vallejo Hwy, Suite A2, American Canyon, CA 94503 2007-02-01
1316091309 Joanne P. Rivera Dentist 120 W. American Canyon Rd., Suite M-8, American Canyon, CA 94503 2007-01-23
1710075387 Wal-mart Stores, Inc. Eyewear Supplier (Equipment, not the service) 7011 Main St., American Canyon, CA 94503 2006-10-10
1225514870 Faris Gheith Behavior Technician 120 Theresa Ave, American Canyon, CA 94503 2018-07-17
1922524693 Melissa Lai Physical Therapist 3975 Old Redwood Hwy, Medical Office Building 5, Suite 152, Santa Rosa, CA 94503 2017-08-15
1598089013 Stephen Gregory Rasmussen Chiropractor 100 West American Canyon Rd Ste - K6, American Canyon, CA 94503-1083 2010-03-26
1144693664 Melissa Ann Dingler Registered Nurse 2 Melvin Rd, American Canyon, CA 94503-1102 2015-11-05
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Taxonomy Information

Taxonomy Code 315P00000X
Grouping Nursing & Custodial Care Facilities
Classification Intermediate Care Facility, Mentally Retarded

Taxonomy Definition

(1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals.
Notes: Sources: (1) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 403 (2) Paraphrased from Code of Federal Regulations #42, Public Health, Section 440.150(c).

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1215545538 Vine Valley Homes II Intermediate Care Facility, Mentally Retarded 8400 Bellingham Ave, Sun Valley, CA 91352-3803 2020-07-22
1841811791 Young Walker Inc. Intermediate Care Facility, Mentally Retarded 14 Deer Ct, Sacramento, CA 95823-4402 2020-05-01
1003441155 Sunrise Premier Homes LLC Intermediate Care Facility, Mentally Retarded 13831 Ruther Ave, Paramount, CA 90723-2662 2020-03-10
1649805912 Jingma Inc Intermediate Care Facility, Mentally Retarded 34909 Osprey Dr, Union City, CA 94587-4618 2020-03-07
1124661699 Rscr California, Inc. Intermediate Care Facility, Mentally Retarded 581 S Gilmar St, Anaheim, CA 92802-1306 2019-10-28
1467095935 Rscr California, Inc. Intermediate Care Facility, Mentally Retarded 1592 W Lorane Way, Anaheim, CA 92802-3930 2019-10-28
1992348460 Rscr California, Inc. Intermediate Care Facility, Mentally Retarded 5940 Los Angeles Way, Buena Park, CA 90620-2723 2019-10-28
1578106043 Rscr California, Inc. Intermediate Care Facility, Mentally Retarded 2918 E Greenhedge Ave, Anaheim, CA 92806-3804 2019-10-28
1790328680 Rscr California, Inc. Intermediate Care Facility, Mentally Retarded 2143 W Fir Ave, Anaheim, CA 92801-3436 2019-10-23
1356984249 Rscr California, Inc. Intermediate Care Facility, Mentally Retarded 6540 Christine Cir, Buena Park, CA 90620-4511 2019-10-23
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Competitor

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City AMERICAN CANYON
Zip Code 94503

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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