# GRANCARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Skyline Healthcare Center - San Jose
- **Organization subpart:** No

## Provider details

- **NPI number:** 1902879471
- **Authorized official:** MRS. ANDREA SAAVEDRA (REGIONAL FINANCIAL ANALYST)
- **Authorized official phone:** (707) 208-1940

## Contact information

- **Practice address:** 2065 FOREST AVE, SAN JOSE, CA 95128-4807
- **Practice address phone:** (408) 280-2500
- **Mailing address:** 2065 FOREST AVE, SAN JOSE, CA 95128-4807
- **Mailing address phone:** (408) 280-2500

## Taxonomy

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

## Other

- **Enumeration date:** 02/07/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | ZZR05318J | — | CA |