# GRANADA HILLS CONVALESCENT HOSPITAL, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Granada Hills Care Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1871670083
- **Authorized official:** MR. KENNETH GOLDBLATT NHA (ADMINISTRATOR)
- **Authorized official phone:** (818) 891-1745

## Contact information

- **Practice address:** 16123 CHATSWORTH ST, GRANADA HILLS, CA 91344
- **Practice address phone:** (818) 891-1745
- **Practice address fax:** (818) 891-1747
- **Mailing address:** 16123 CHATSWORTH ST, GRANADA HILLS, CA 91344
- **Mailing address phone:** (818) 891-1745
- **Mailing address fax:** (818) 891-1747

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 920000038 | CA | Yes |

## Other

- **Enumeration date:** 11/01/2006
- **Last updated:** 06/06/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 206190349/ZZT06168 | — | CA |
| 01 | — | 920000038 | DEPT OF PUBLIC HEALTH | CA |
| 05 | — | ZZT 06168H | — | CA |