GRANADA REHABILITATION & WELLNESS CENTER, LP (NPI# 1003113705) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003113705 |
| Entity Type | Organization |
| Organization Name | GRANADA REHABILITATION & WELLNESS CENTER, LP |
| Practice Address |
2885 Harris St Eureka CA 95503-4808 |
| Practice Telephone | 7074431627 |
| Practice Fax Number | 7074418446 |
| Mailing Telephone | 7074431627 |
| Mailing Fax Number | 7074418446 |
| Enumeration Date | 2011-02-16 |
| Last Update Date | 2011-02-16 |
| Authorized Official Name | SHLOMO RECHNITZ (MANAGER) |
| Authorized Official Telephone | 3236341940 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 010000015 | CA | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | ZZR06300K | 05 |
| Street Address |
2885 HARRIS ST |
| City | EUREKA |
| State | CA |
| Zip Code | 95503-4808 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306824248 | Granada Healthcare & Rehabilitation Center, LLC | Skilled Nursing Facility | 2885 Harris St, Eureka, CA 95503-4808 | 2005-12-30 |
| 1457992539 | Taylor Smith Tidwell | Occupational Therapist | 2885 Harris St, Eureka, CA 95503-4808 | 2019-10-01 |
| 1992279012 | Andrianna Rogers | Physical Therapy Assistant | 2885 Harris St, Eureka, CA 95503-4808 | 2019-01-11 |
| 1710376678 | Kathleen Madsen | Physical Therapist | 2885 Harris St, Eureka, CA 95503-4808 | 2015-01-15 |
| 1932598190 | Stacey Mcclure | Occupational Therapy Assistant | 2885 Harris St, Eureka, CA 95503-4808 | 2015-01-12 |
| 1386067163 | Lekeith Romel Mapp | Occupational Therapist | 2885 Harris St, Eureka, CA 95503 | 2014-01-29 |
| 1891037958 | Elizabeth Anne Becker | Physical Therapist | 2885 Harris St, Eureka, CA 95503-4808 | 2013-03-26 |
| 1417245333 | Mary P Cross | Occupational Therapy Assistant | 2885 Harris St, Eureka, CA 95503-4808 | 2011-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538717244 | Margaret Ramsey | Technician | 463 Ole Hansen Rd., Eureka, CA 95503 | 2019-08-27 |
| 1033765060 | John C Nelson Md Inc | Family Medicine | Hospice of Humboldt, 3327 Timber Fall Court, Eureka, CA 95503 | 2019-08-15 |
| 1861904815 | Remi Vista, Inc. | Marriage & Family Therapist | 3109 H St, Eureka, CA 95503 | 2017-10-31 |
| 1427576487 | Liliana Alonso | Case Manager/Care Coordinator | 3960 Walnut Dr., Eureka, CA 95503 | 2017-08-30 |
| 1801243241 | Sarah Kingstrom | Physician Assistant | 2933 Pigeon Point Rd, Eureka, CA 95503 | 2016-05-16 |
| 1760738389 | Gail Mildred Pascoe | Marriage & Family Therapist | 618 Harris Street, Eureka, CA 95503 | 2012-08-01 |
| 1497084933 | Angus Bynon Stewart | Ophthalmology | 77 Sole Street, Eureka, CA 95503 | 2009-12-11 |
| 1942454301 | Balanced Physical Therapy | Physical Therapist | 2900 Harris St., Eureka, CA 95503 | 2008-11-12 |
| 1073762480 | Michele Lee Rogers | Marriage & Family Therapist | 3172 Walford Ave Ste 2, Eureka, CA 95503 | 2008-09-10 |
| 1952592321 | Brian James Smith | Dentist | 831 Harris Street, Eureka, CA 95503 | 2007-08-09 |
| Find all providers in zip 95503 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316035074 | Medicalodges, Inc. | Skilled Nursing Facility | 1020 N School St, Route 2, Box 94-c, Eureka, KS 67045-1106 | 2006-10-10 |
| 1609889914 | Apostolic Christian Home of Eureka | Skilled Nursing Facility | 610 W. Cruger St., Eureka, IL 61530 | 2006-08-15 |
| 1720012347 | St. Andrew's At Francis Place | Skilled Nursing Facility | 300 Forby Road, Eureka, MO 63025-0476 | 2006-07-10 |
| 1306824248 | Granada Healthcare & Rehabilitation Center, LLC | Skilled Nursing Facility | 2885 Harris St, Eureka, CA 95503-4808 | 2005-12-30 |
| 1386621357 | Eureka Healthcare and Rehabilitation Center, LLC | Skilled Nursing Facility | 2353 23rd St, Eureka, CA 95501-3201 | 2005-12-29 |
| 1144206020 | Avera St. Lukes | Skilled Nursing Facility | 202 J Ave., Eureka, SD 57437-2225 | 2005-12-21 |
| 1811984495 | Seaview Healthcare and Rehabilition,llc | Skilled Nursing Facility | 6400 Purdue Dr, Eureka, CA 95503-7095 | 2005-09-29 |
| 1720073414 | Maple Lawn Health Center | Skilled Nursing Facility | 700 N Main St, Eureka, IL 61530-1085 | 2005-09-19 |
| 1992158356 | Kendra Mickelson | Skilled Nursing Facility | 700 N Main St, Eureka, IL 61530-1085 | 2016-07-20 |
| 1720439110 | Loft Rehabilitation and Nursing LLC | Skilled Nursing Facility | 700 N Main St, Eureka, IL 61530-1085 | 2016-06-27 |
| Find all providers in EUREKA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.