Organization
GRANADA HILLS CONVALESCENT HOSPITAL, INC
Active
Other names
Granada Hills Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENNETH GOLDBLATT NHA (ADMINISTRATOR)
(818) 891-1745
Entity
Organization
Contact information
Practice address
16123 CHATSWORTH ST, GRANADA HILLS, CA 91344
(818) 891-1745
(818) 891-1747
Mailing address
16123 CHATSWORTH ST, GRANADA HILLS, CA 91344
(818) 891-1745
(818) 891-1747
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
920000038
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
206190349/ZZT06168
—
CA
01
—
920000038
DEPT OF PUBLIC HEALTH
CA
05
—
ZZT 06168H
—
CA
Enumeration date
11/01/2006
Last updated
06/06/2012
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