Provider Demographics
NPI:1992864979
Name:GRANDVIEW MANOR CARE CENTER, INC.
Entity Type:Organization
Organization Name:GRANDVIEW MANOR CARE CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:
Authorized Official - Last Name:STRUM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:828-524-4425
Mailing Address - Street 1:PO BOX 188
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:NC
Mailing Address - Zip Code:28744-0188
Mailing Address - Country:US
Mailing Address - Phone:828-524-4425
Mailing Address - Fax:828-349-4162
Practice Address - Street 1:150 CRISP ST
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:NC
Practice Address - Zip Code:28734-2500
Practice Address - Country:US
Practice Address - Phone:828-524-4425
Practice Address - Fax:828-349-4162
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-06
Last Update Date:2008-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCHAL 056-001310400000X
NCHAL056001311ZA0620X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
No311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC7801760Medicaid