GRANITE VIEW ADULT CARE HOME LLC (NPI# 1972005395) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972005395 |
| Entity Type | Organization |
| Organization Name | GRANITE VIEW ADULT CARE HOME LLC |
| Practice Address |
7105 Williamson Valley Road Prescott AZ 86305 |
| Mailing Address |
Po Box 11805 Prescott AZ 86304 |
| Practice Telephone | 9287780002 |
| Practice Fax Number | 9287781207 |
| Mailing Telephone | 9287780002 |
| Mailing Fax Number | 9287781207 |
| Enumeration Date | 2018-03-01 |
| Last Update Date | 2018-03-01 |
| Authorized Official Name | MS. KAREN S JONES (MANAGER) |
| Authorized Official Telephone | 9285334472 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | AL8343H | AZ | Nursing & Custodial Care Facilities |
| Street Address |
7105 WILLIAMSON VALLEY ROAD |
| City | PRESCOTT |
| State | AZ |
| Zip Code | 86305 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215468095 | Valerie Williams | Occupational Therapist | 926 S. Hinman Dr., Prescott, AZ 86305 | 2017-03-23 |
| 1174073837 | Caspian Gleam Medical Center LLC | Clinic/Center | 3130 Stillwater Drive, Suite B, Prescott, AZ 86305 | 2016-10-06 |
| 1114388634 | Marla Beth Perkins | Speech-Language Pathologist | 3160 Stillwater Dr., Prescott, AZ 86305 | 2016-03-10 |
| 1790159853 | Michele A. Bibeau, D.d.s. | Dentist | 1058 Fair Street, Suite A, Prescott, AZ 86305 | 2015-11-30 |
| 1609264837 | Integrative Pain Centres of Prescott | Pain Medicine | 3769 Crossings Drive, Suite B, Integrative Pain Centres of Prescott, Prescott, AZ 86305 | 2014-12-22 |
| 1649697251 | Sharon Marilyn Jackson | Counselor | 3636 Crossings Drive, Prescott, AZ 86305 | 2014-03-20 |
| 1215351259 | Stefanie Maneval | Registered Nurse | 900 Iron Springs Rd, Prescott, AZ 86305 | 2014-02-11 |
| 1508207523 | Recovery In The Pines, LLC | Community/Behavioral Health | 919 12th Place #13, Prescott, AZ 86305 | 2013-07-08 |
| 1871857359 | Neal Herbert Segovia Cabaluna | Internal Medicine | 3773 Crossings Dr Ste C, Prescott, AZ 86305 | 2012-06-28 |
| 1851667257 | Chapter 5 Recovery | Community/Behavioral Health | 709 W Gurley St, Prescott, AZ 86305 | 2012-03-29 |
| Find all providers in zip 86305 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396005195 | Emeritus Corporation | Assisted Living Facility | 211 Bradshaw Dr, Prescott, AZ 86303-4405 | 2012-05-25 |
| 1811191943 | Five Star Granite Gate, LLC | Assisted Living Facility | 3850 North Us Highway 89, Prescott, AZ 86301 | 2007-06-13 |
| 1770664641 | Southwestern Medical Centers-az, Inc. | Assisted Living Facility | 860 Dougherty St, Prescott, AZ 86305-1841 | 2006-10-18 |
| 1013008259 | Paradise Care Homes LLC | Assisted Living Facility | 1812 Willow Creek Rd, Prescott, AZ 86301-1157 | 2006-09-27 |
| 1588645600 | The Evangelical Lutheran Good Samaritan Society | Assisted Living Facility | 3191 Aster Dr, Prescott, AZ 86305-3743 | 2005-11-07 |
| 1639781727 | Snh Granite Gate Lands Tenant LLC | Assisted Living Facility | 3850 N Us Highway 89, Prescott, AZ 86301-8428 | 2020-08-19 |
| 1316405194 | Split Rail Inc. | Assisted Living Facility | 1658 Us Highway 371, Prescott, AR 71857-7064 | 2019-03-11 |
| 1467860593 | S-h Opco Peridot, LLC | Assisted Living Facility | 211 Bradshaw Dr, Prescott, AZ 86303-4405 | 2014-08-01 |
| 1114262292 | Boulder Gardens Assistant Living, LLC | Assisted Living Facility | 860 Dougherty St, Prescott, AZ 86305-1841 | 2012-11-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235730508 | Gheorghe Patrutescu | Assisted Living Facility | 16134 N 72nd Ln, Peoria, AZ 85382-4937 | 2020-11-03 |
| 1942800966 | Yibu Liu | Assisted Living Facility | 3569 E Utopia Rd, Phoenix, AZ 85050-3967 | 2020-10-28 |
| 1386243269 | Harmony House Tucson LLC | Assisted Living Facility | 12651 E Speedway Blvd, Tucson, AZ 85748-2060 | 2020-10-21 |
| 1710586664 | Sunland Springs Memory Care, LLC | Assisted Living Facility | 2415 S Signal Butte Rd, Mesa, AZ 85209-2107 | 2020-10-21 |
| 1487253860 | Ronald Jingco Calaguas | Assisted Living Facility | 2432 W Portobello Ave, Mesa, AZ 85202-7871 | 2020-10-18 |
| 1992303374 | Azi House LLC | Assisted Living Facility | 1200 W Chapala Dr, Tucson, AZ 85704-4521 | 2020-10-16 |
| 1609474030 | Fisher Family Home LLC | Assisted Living Facility | 2927 W Redfield Rd, Phoenix, AZ 85053-7712 | 2020-10-16 |
| 1235736687 | Ana's Assisted Living Home, LLC | Assisted Living Facility | 13238 N 35th St, Phoenix, AZ 85032-6110 | 2020-10-07 |
| 1205433844 | Angelic Care LLC | Assisted Living Facility | 15247 W Wethersfield Rd, Surprise, AZ 85379-9177 | 2020-10-07 |
| 1689281347 | Gilbert Al Partners, Lp | Assisted Living Facility | 1445 E Willis Rd, Gilbert, AZ 85297-7352 | 2020-09-28 |
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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.