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GRANDVIEW FOUNDATION INC. NPI 1295038404


NPI Information

NPI: 1295038404
Provider Name: GRANDVIEW FOUNDATION, INC.
Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization

CLIA Number: 05D2230452

Address:
1230 N MARENGO AVE
PASADENA, CA
ZIP 91103
Phone: (626) 797-1124
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GRANDVIEW FOUNDATION, INC. is a substance abuse rehabilitation facility in Pasadena, CA. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. GRANDVIEW FOUNDATION, INC. NPI is 1295038404. The provider is registered as an organization entity type.

The provider's business location address is:

1230 N MARENGO AVE
PASADENA, CA
ZIP 91103-217
Phone: (626) 797-1124
Fax: (626) 398-9674

The provider's authorized official is Douglas Lewis Campbell .
The authorized official title is Ceo&executive Direct and has the following contact phone number (626) 797-1124.

The CLIA number assigned to this NPI record is 05D2230452 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/9/2010 and was last updated on 8/13/2013.


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
1324500000XSubstance Abuse Rehabilitation Facility190022ANCALIFORNIAYes

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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