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GRANITE RIDGE HOME HEALTH NURSING CARE INC. NPI 1275043770


NPI Information

NPI: 1275043770
Provider Name: GRANITE RIDGE HOME HEALTH NURSING CARE, INC.

Doing Business As: GRANITE RIDGE HOME HEALTH CARE

Classification: Home Health - 251E00000X
Entity Type: Organization

CLIA Number: 05D2182918

Address:
35300 HIGHWAY 41 STE 201
COARSEGOLD, CA
ZIP 93614
Phone: (559) 977-3952
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GRANITE RIDGE HOME HEALTH NURSING CARE, INC. is a home health in Coarsegold, CA. The provider is a public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. GRANITE RIDGE HOME HEALTH NURSING CARE, INC. NPI is 1275043770. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Granite Ridge Home Health Care.

The provider's business location address is:

35300 HIGHWAY 41 STE 201
COARSEGOLD, CA
ZIP 93614-717
Phone: (559) 977-3952
Fax: (559) 420-0310

The provider's authorized official is Frank Kelly .
The authorized official title is Ceo, President and has the following contact phone number (559) 977-3952.

The CLIA number assigned to this NPI record is 05D2182918 - home health agency with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/10/2017 and was last updated on 9/2/2021.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163WE0003XRegistered NurseEmergency789398CALIFORNIANo
2163WH1000XRegistered NurseHospice789398CALIFORNIANo
3163WI0500XRegistered NurseInfusion Therapy789398CALIFORNIANo
4251E00000XHome HealthYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11275043770MEDICAIDCALIFORNIA

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: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.