Glendora Grand, Inc.

LBN: Glendora Grand, Inc.
Glendora Grand, Inc. is an health care organization with primary practice located at 805 W. Arrow Highway , Glendora CA 91740-5413. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Glendora Grand, Inc. can be contacted via phone (626) 331-0781, or through Rollins, Vicki P via phone (626) 331-0781.

Contact Information

Primary practice address
805 W. Arrow Highway Glendora CA 91740-5413
Phone: (626) 331-0781
Fax: (626) 332-8835
Website:
Map and Directions
Authorized official contact:
Name: Rollins, Vicki P Registered Nurse (RN)
Phone: (626) 331-0781

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 950000079 California

Profile Details

NPI number 1497077739
LBN Legal business name Glendora Grand, Inc.
DBA Doing business as
Authorized official Rollins, Vicki P Registered Nurse (RN)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 26th, 2010
Last updated Mar 25th, 2014 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497077739 NPPES
California MEDICAID 950000079

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