Grand Terrace Care Center

LBN: Grand Terrace Health Care, Inc.
Grand Terrace Care Center is an health care organization with primary practice located at 12000 Mount Vernon Ave , Grand Terrace CA 92313-5174. 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. Grand Terrace Health Care, Inc. can be contacted via phone (909) 825-5221, or through Johnson, Marc via phone (949) 373-8373.

Contact Information

Primary practice address
12000 Mount Vernon Ave Grand Terrace CA 92313-5174
Phone: (909) 825-5221
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Johnson, Marc
Phone: (949) 373-8373

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 240000143 California

Profile Details

NPI number 1811972193
LBN Legal business name Grand Terrace Health Care, Inc.
DBA Doing business as Grand Terrace Care Center
Authorized official Johnson, Marc
Entity Organization
Organization subpart 1 No
Enumeration date Dec 9th, 2005
Last updated Apr 5th, 2024 - about 7 months 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 1811972193 NPPES
California MEDICAID ZZT05129J

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