# GRANITE RIDGE HOME HEALTH NURSING CARE, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Granite Ridge Home Health Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275043770
- **Authorized official:** FRANK KELLY RN (ASSISTANT ADMINISTRATOR)
- **Authorized official phone:** (209) 617-9625

## Contact information

- **Practice address:** 1060 FULTON ST STE 714, FRESNO, CA 93721-2513
- **Practice address phone:** (559) 977-3952
- **Practice address fax:** (559) 420-0310
- **Mailing address:** 1060 FULTON ST STE 714, FRESNO, CA 93721-2513
- **Mailing address phone:** (559) 977-3952
- **Mailing address fax:** (559) 420-0310

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WE0003X | Emergency Registered Nurse | 789398 | CA | — |
| 163WH1000X | Hospice Registered Nurse | 789398 | CA | — |
| 163WI0500X | Infusion Therapy Registered Nurse | 789398 | CA | — |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 10/10/2017
- **Last updated:** 11/06/2025