Provider Demographics
NPI:1942386263
Name:GRANDVIEW CARE, INC.
Entity Type:Organization
Organization Name:GRANDVIEW CARE, INC.
Other - Org Name:BRIDGEPOINTE HEALTH CAMPUS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:A/R MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JO
Authorized Official - Middle Name:A
Authorized Official - Last Name:THOMAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:502-213-1720
Mailing Address - Street 1:1900 COLLEGE AVE
Mailing Address - Street 2:
Mailing Address - City:VINCENNES
Mailing Address - State:IN
Mailing Address - Zip Code:47591-5663
Mailing Address - Country:US
Mailing Address - Phone:812-886-9870
Mailing Address - Fax:812-886-9871
Practice Address - Street 1:1900 COLLEGE AVE
Practice Address - Street 2:
Practice Address - City:VINCENNES
Practice Address - State:IN
Practice Address - Zip Code:47591-5663
Practice Address - Country:US
Practice Address - Phone:812-886-9870
Practice Address - Fax:812-886-9871
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-29
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN155696Medicare ID - Type Unspecified