GRANDVIEW FOUNDATION, INC. (NPI# 1669923611) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669923611 |
| Entity Type | Organization |
| Organization Name | GRANDVIEW FOUNDATION, INC. |
| Practice Address |
225 Grandview Street Pasadena CA 91104 |
| Mailing Address |
1230 North Marengo Avenue Pasadena CA 91103-2217 |
| Practice Telephone | 6267971124 |
| Practice Fax Number | 6263985984 |
| Mailing Telephone | 6267971124 |
| Mailing Fax Number | 6263989674 |
| Enumeration Date | 2016-10-14 |
| Last Update Date | 2018-03-27 |
| Authorized Official Name | MS. LINDY RAE CARLL (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 6267971124 |
| Authorized Official Credential | B.A. J.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | 190022AN | CA | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | DRUG MEDI-CAL | 6736 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295038404 | Grandview Foundation, Inc. | Substance Abuse Rehabilitation Facility | 1230 N Marengo Ave, Pasadena, CA 91103-2217 | 2010-12-09 |
| Street Address |
225 GRANDVIEW STREET |
| City | PASADENA |
| State | CA |
| Zip Code | 91104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629595673 | Johnny Perez | Counselor | 225 Grandview Street, Pasadena, CA 91104 | 2017-08-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093284382 | Jack Lee Johnson II | Counselor | 1680 North Fair Oaks, Pasadena, CA 91104 | 2018-11-16 |
| 1699257055 | Aqueelah Russell | Lactation Consultant, Non-RN | 855 N. Catalina Ave, Pasadena, CA 91104 | 2018-09-02 |
| 1053893529 | Jordann Ashley Stewart | Case Manager/Care Coordinator | 691 East Washington Blvd, Pasadena, CA 91104 | 2018-08-31 |
| 1942789706 | Elmer Caballero | Case Manager/Care Coordinator | 691 E Washington Blvd, Pasadena, CA 91104 | 2018-08-12 |
| 1649759648 | Orlando Javier Sava Jr. | Case Manager/Care Coordinator | 1395 E. Orange Grove Blvd, Pasadena, CA 91104 | 2018-08-09 |
| 1255734166 | Linhua Wang-kim | Massage Therapist | 1028 N. Lake Ave., Suite 108c, Pasadena, CA 91104 | 2014-10-06 |
| 1477893782 | Med Tec Diagnostic Inc. | Clinic/Center | 1310 N. Mar Vista Unit 3, Pasadena, CA 91104 | 2013-02-22 |
| 1750631321 | Gordon Sheldall | Marriage & Family Therapist | 1495 N Lake Avenue, Pasadena, CA 91104 | 2012-09-11 |
| 1699024521 | Sherry Lynn Wait | Marriage & Family Therapist | 1495 N. Lake Ave., Pasadena, CA 91104 | 2012-09-06 |
| 1770832883 | Lucinda Doty Grush | Marriage & Family Therapist | 1495 N. Lake Ave, Pasadena, CA 91104 | 2012-09-05 |
| Find all providers in zip 91104 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902432636 | Evolve Residential, LLC | Substance Abuse Rehabilitation Facility | 8001 Leeland Dr, Pasadena, MD 21122-2495 | 2020-03-13 |
| 1154964880 | Evolve Residential, LLC | Substance Abuse Rehabilitation Facility | 8003a Leeland Dr, Pasadena, MD 21122-2495 | 2019-10-25 |
| 1326694134 | Evolve Residential, LLC | Substance Abuse Rehabilitation Facility | 8003 Leeland Dr, Pasadena, MD 21122-2495 | 2019-08-16 |
| 1609305069 | Opportunity Ministries, Inc. | Substance Abuse Rehabilitation Facility | 212 Sillery Bay Road, Pasadena, MD 21122-5946 | 2017-06-08 |
| 1225566847 | Taj Treatment Centers, Inc. | Substance Abuse Rehabilitation Facility | 979 E Washington Blvd, Pasadena, CA 91104-2439 | 2017-05-25 |
| 1750821773 | I Am Treatment Sanctuaries, Inc. | Substance Abuse Rehabilitation Facility | 651 Castano Ave, Pasadena, CA 91107-2703 | 2017-02-24 |
| 1750798245 | Tranquility Woods LLC | Substance Abuse Rehabilitation Facility | 171a Ryan Rd, Pasadena, MD 21122-4541 | 2014-07-16 |
| 1841635737 | Houston Substance Abuse Clinic @ Pasadena, Inc. | Substance Abuse Rehabilitation Facility | 5825 Spencer Hwy, Pasadena, TX 77087 | 2013-05-06 |
| 1235472721 | Elijah's House Tx Corp | Substance Abuse Rehabilitation Facility | 1617 Asbury Dr, Pasadena, CA 91104-3113 | 2013-04-03 |
| 1962542274 | Principles Inc | Substance Abuse Rehabilitation Facility | 1680 N Fair Oaks Ave, Pasadena, CA 91103-1642 | 2007-02-07 |
| Find all providers in PASADENA | ||||
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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.