Organization
GRANDCARE SAN DIEGO, LLC
Active
Parent organization
GRANDCARE HEALTH SERVICES, LLC
Other names
Grandcare San Diego LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
GRANDCARE HEALTH SERVICES, LLC
Authorized official
DAVID ALLEN BELL (CEO)
(626) 788-9798
Entity
Organization
Contact information
Practice address
2535 CAMINO DEL RIO S STE 120, SAN DIEGO, CA 92108-3764
(619) 220-6980
(619) 220-6981
Mailing address
3452 E FOOTHILL BLVD STE 130, PASADENA, CA 91107-6006
(866) 554-2447
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
058345
MEDICARE - PTAN
CA
Enumeration date
12/16/2014
Last updated
09/02/2025
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