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GRAPHILJEN HOMES LLC NPI 1023438413


NPI Information

NPI: 1023438413
Provider Name: GRAPHILJEN HOMES LLC

Doing Business As: GRACE MANOR

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
3744 PINTAIL DR
ANTIOCH, CA
ZIP 94509
Phone: (925) 706-9922
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GRAPHILJEN HOMES LLC is an assisted living facility in Antioch, CA. The provider is 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. GRAPHILJEN HOMES LLC NPI is 1023438413. The provider is registered as an organization entity type.
The provider Is Doing Business As Grace Manor.

The provider's business location address is:

3744 PINTAIL DR
ANTIOCH, CA
ZIP 94509-461
Phone: (925) 706-9922
Fax: (925) 978-4377

The provider's authorized official is Nelia Lastimado Nebre .
The authorized official title is Facility Administrator and has the following contact phone number (925) 706-9922.

The enumeration date for this NPI number is 4/24/2014 and was last updated on 4/24/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1310400000XAssisted Living Facility075601446CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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