# CENTINELA GRAND, INC.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033431374
- **Authorized official:** MS. VICKI P. ROLLINS RN (VICE-PRESIDENT)
- **Authorized official phone:** (951) 657-2135

## Contact information

- **Practice address:** 2225 N. PERRIS BLVD., PERRIS, CA 92571-4513
- **Practice address phone:** (951) 657-2135
- **Practice address fax:** (951) 657-0548
- **Mailing address:** 2225 N. PERRIS BLVD., PERRIS, CA 92571-4513
- **Mailing address phone:** (951) 657-2135
- **Mailing address fax:** (951) 657-0548

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 250000222 | CA | Yes |

## Other

- **Enumeration date:** 02/26/2010
- **Last updated:** 03/12/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 250000222 | — | CA |