MEDICARE: GRANDVIEW RETIREMENT HOME

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3104A0625X	Assisted Living Facility (Mental Illness)	197607596	CA

General Provider Information

NPI Number	:	1760766232
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GRANDVIEW RETIREMENT HOME

Provider Business Mailing Address
First Line	:	2211 W 6TH ST
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90057-3120
Country	:	US
Telephone Number	:	213-380-7000
Fax Number	:	213-387-8330

Provider Business Practice Location Address
First Line	:	2211 W 6TH ST
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90057-3120
Country	:	US
Telephone Number	:	213-380-7000
Fax Number	:	213-387-8330

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MRS. YENI FLORES
Credential	:	ADMINISTRATOR
Telephone Number	:	213-380-7000

Provider Enumeration Date	:	10/03/2011
Last Update Date	:	10/03/2011

Similar Medicare Providers

1366992331 — LORETO HOLDINGS, LLC
Practice Location Address:

2211 W 6TH ST
LOS ANGELES, CA
90057-3120

Practice Phone: 213-380-7000
Practice Fax:

1144786260 — THE GRANDVIEW LLC
Practice Location Address:

2211 W 6TH ST
LOS ANGELES, CA
90057-3120

Practice Phone: 213-380-7000
Practice Fax: 213-387-8330

1336137520 — DR. LEONOR CAPISTRANO ESLAO DMD
Practice Location Address:

3120 W 6TH ST
LOS ANGELES, CA
90020-1702

Practice Phone: 213-385-0871
Practice Fax: 213-386-0923

1306159025 — MYEISHA PALMER
Practice Location Address:

2125 E 102ND ST # 530
LOS ANGELES, CA
90002-3120

Practice Phone: 323-350-8989
Practice Fax:

1912292012 — THIRD STREET TREATMENT PARTNERS, LLC
Practice Location Address:

4067 W 3RD ST
LOS ANGELES, CA
90020-3120

Practice Phone: 888-870-2201
Practice Fax:

1588943203 — THIRD STREET TREATMENT PARTNERS LLC
Practice Location Address:

4067 W 3RD ST
LOS ANGELES, CA
90020-3120

Practice Phone: 818-635-9380
Practice Fax: 818-337-0365

Directions to “GRANDVIEW RETIREMENT HOME ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.