GRANCARE LLC (NPI# 1548232150) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548232150 |
| Entity Type | Organization |
| Organization Name | GRANCARE LLC |
| Other Organization Name | DRIFTWOOD HEALTHCARE CENTER |
| Practice Address |
675 24th Ave Santa Cruz CA 95062-4205 |
| Practice Telephone | 8314756323 |
| Mailing Telephone | 8314756323 |
| Enumeration Date | 2006-02-07 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. ANDREA J SAAVEDRA (REGIONAL FINANCIAL ANALYST) |
| Authorized Official Telephone | 7072081940 |
| Authorized Official Credential | B.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 313M00000X | Nursing Facility/Intermediate Care Facility | CA | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | ZZR05109H | 05 |
| Other Name | Type Code |
|---|---|
| Driftwood Healthcare Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609840115 | Grancare LLC | Skilled Nursing Facility | 27350 Tampa Ave, Hayward, CA 94544-4429 | 2006-02-14 |
| 1679546915 | Grancare LLC | Skilled Nursing Facility | 4109 Emerald St, Torrance, CA 90503-3105 | 2006-02-08 |
| 1851364194 | Grancare LLC | Skilled Nursing Facility | 3050 Montrose Ave, La Crescenta, CA 91214-3619 | 2006-02-08 |
| 1487627725 | Grancare LLC | Skilled Nursing Facility | 19700 Hesperian Blvd, Hayward, CA 94541-4704 | 2006-02-08 |
| 1720051295 | Grancare LLC | Skilled Nursing Facility | 1320 20th St, Santa Monica, CA 90404-2034 | 2006-02-07 |
| 1083687560 | Grancare LLC | Skilled Nursing Facility | 1338 20th St, Santa Monica, CA 90404-2034 | 2006-02-07 |
| 1811969355 | Grancare LLC | Skilled Nursing Facility | 1900 Church Ln, San Pablo, CA 94806-3708 | 2006-02-07 |
| 1518939016 | Grancare LLC | Skilled Nursing Facility | 8925 Mines Ave, Pico Rivera, CA 90660-3006 | 2006-02-07 |
| 1902879471 | Grancare LLC | Skilled Nursing Facility | 2065 Forest Ave, San Jose, CA 95128-4807 | 2006-02-07 |
| 1023080660 | Grancare LLC | Skilled Nursing Facility | 3032 Rowena Ave, Los Angeles, CA 90039-2005 | 2006-02-07 |
| Street Address |
675 24TH AVE |
| City | SANTA CRUZ |
| State | CA |
| Zip Code | 95062-4205 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457649436 | Driftwood Santa Cruz Operating Company, Lp | Skilled Nursing Facility | 675 24th Ave, Santa Cruz, CA 95062-4205 | 2011-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730706698 | Laura Lynn Rabb-jancola | Home Health | 275 Lake Ave #8, Santa Cruz, CA 95062 | 2020-06-26 |
| 1043792740 | New Life Community Services, Inc | Substance Abuse Rehabilitation Facility | 521 Capitola Rd Ext, Santa Cruz, CA 95062 | 2018-08-30 |
| 1780180380 | Philips Patton | Acupuncturist | 129 Dake Ave, Santa Cruz, CA 95062 | 2018-04-03 |
| 1477069896 | Wei Jiang | Acupuncturist | 1099 38th Ave #46, Santa Cruz, CA 95062 | 2017-12-21 |
| 1336679885 | Camm Nelsen | Counselor | 200 7th Avenue. Suite 150, Santa Cruz, CA 95062 | 2017-06-18 |
| 1639601784 | Catharine Lee Sheets | Registered Nurse | 21507 East Cliff Drive, Santa Cruz, CA 95062 | 2017-03-29 |
| 1972968857 | Brenda M. Williams | Counselor | 941 Eldorado Ave, Santa Cruz, CA 95062 | 2015-12-21 |
| 1124490347 | Emily Fittante | Social Worker | 343 Soquel Ave #195, Santa Cruz, CA 95062 | 2015-10-27 |
| 1578935839 | Jennifer Langon, Lmft | Community/Behavioral Health | 5905 Soquel Ave Suite 400, Aptos, CA 95062 | 2015-10-27 |
| 1255718581 | Joanne Gramo | Acupuncturist | 316a Oceanview Ave., Santa Cruz, CA 95062 | 2015-05-06 |
| Find all providers in zip 95062 | ||||
| Taxonomy Code | 313M00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Nursing Facility/Intermediate Care Facility |
| An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals. |
| Notes: Source: Paraphrased from Section 1919 (a) of the Social Security Act. |
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| Find all providers with the same taxonomy | ||||
| City | SANTA CRUZ |
| Zip Code | 95062 |
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| 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.