# GROSSMONT SKILLED CARE, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Grossmont Gardens Healthcare Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003528456
- **Authorized official:** JAMES BENDER (VICE PRESIDENT)
- **Authorized official phone:** (310) 430-2944

## Contact information

- **Practice address:** 5480 MARENGO AVE, LA MESA, CA 91942-2408
- **Practice address phone:** (619) 463-0281
- **Mailing address:** 100 N BARRANCA ST STE 200, WEST COVINA, CA 91791-1651

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 310400000X | Assisted Living Facility | — | — | — |
| 314000000X | Skilled Nursing Facility | — | — | Yes |

## Other

- **Enumeration date:** 12/16/2022
- **Last updated:** 08/18/2026