Healthcare Provider Details

I. General information

NPI: 1174514236
Provider Name (Legal Business Name): THE SCRIPPS HOME
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/28/2005
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2212 EL MOLINO AVE
ALTADENA CA
91001-3036
US

IV. Provider business mailing address

2212 EL MOLINO AVE
ALTADENA CA
91001-3036
US

V. Phone/Fax

Practice location:
  • Phone: 626-798-0934
  • Fax: 626-398-9609
Mailing address:
  • Phone: 626-798-0934
  • Fax: 626-398-9609

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number StateCA

VIII. Authorized Official

Name: MR. JAMES GRAUNKE
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 626-798-0934