Creekside Healthcare Center

LBN: Grancare Llc
Creekside Healthcare Center is an health care organization with primary practice located at 1900 Church Ln , San Pablo CA 94806-3708. 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. Grancare Llc can be contacted via phone (510) 235-5514, or through Saavedra, Andrea via phone (707) 208-1940.

Contact Information

Primary practice address
1900 Church Ln San Pablo CA 94806-3708
Phone: (510) 235-5514
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Saavedra, Andrea
Phone: (707) 208-1940

Health care specialties

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

Profile Details

NPI number 1811969355
LBN Legal business name Grancare Llc
DBA Doing business as Creekside Healthcare Center
Authorized official Saavedra, Andrea
Entity Organization
Organization subpart 1 No
Enumeration date Feb 7th, 2006
Last updated Sep 10th, 2013 - about 12 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 1811969355 NPPES
California MEDICAID LTC05099I

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