Provider Demographics
NPI:1548232184
Name:GRANCARE LLC
Entity Type:Organization
Organization Name:GRANCARE LLC
Other - Org Name:ALMADEN CARE & REHABILITATION CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:REGIONAL FINANCIAL ANALYST
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANDREA
Authorized Official - Middle Name:
Authorized Official - Last Name:SAAVEDRA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:707-208-1940
Mailing Address - Street 1:2065 LOS GATOS ALMADEN RD
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95124-5417
Mailing Address - Country:US
Mailing Address - Phone:408-377-9275
Mailing Address - Fax:
Practice Address - Street 1:2065 LOS GATOS ALMADEN RD
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95124-5417
Practice Address - Country:US
Practice Address - Phone:408-377-9275
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAZZR06058HMedicaid
CAN/AMedicare UPIN
CA05-6058Medicare ID - Type Unspecified