Provider Demographics
NPI:1326272766
Name:MSJ HEALTHCARE LLC
Entity Type:Organization
Organization Name:MSJ HEALTHCARE LLC
Other - Org Name:GRANDCARE HOME HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:ALLEN
Authorized Official - Last Name:BELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:626-788-9798
Mailing Address - Street 1:3452 E FOOTHILL BLVD STE 130A
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91107-3142
Mailing Address - Country:US
Mailing Address - Phone:818-244-8446
Mailing Address - Fax:818-244-7331
Practice Address - Street 1:3452 E FOOTHILL BLVD STE 130A
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91107-3142
Practice Address - Country:US
Practice Address - Phone:818-244-8446
Practice Address - Fax:818-244-7331
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:GRANDCARE HEALTH SERVICES, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-05-13
Last Update Date:2024-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health