Organization
GRANITE RIDGE HOME HEALTH NURSING CARE, INC.
Active
Other names
Granite Ridge Home Health Care
Organization subpart
No
Provider details
NPI number
Authorized official
FRANK KELLY RN (ASSISTANT ADMINISTRATOR)
(209) 617-9625
Entity
Organization
Contact information
Practice address
1060 FULTON ST STE 714, FRESNO, CA 93721-2513
(559) 977-3952
(559) 420-0310
Mailing address
1060 FULTON ST STE 714, FRESNO, CA 93721-2513
(559) 977-3952
(559) 420-0310
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
789398
CA
163WH1000X
Hospice Registered Nurse
789398
CA
163WI0500X
Infusion Therapy Registered Nurse
789398
CA
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1275043770
—
CA
Enumeration date
10/10/2017
Last updated
11/06/2025
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