Healthcare Provider Details

I. General information

NPI: 1639003544
Provider Name (Legal Business Name): GRANDVIEW ASSISTED LIVING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/09/2026
Last Update Date: 06/09/2026
Certification Date: 06/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11800 W 49TH AVE
WHEAT RIDGE CO
80033-2176
US

IV. Provider business mailing address

947 S 500 E STE 105
AMERICAN FORK UT
84003-3392
US

V. Phone/Fax

Practice location:
  • Phone: 385-498-0194
  • Fax:
Mailing address:
  • Phone: 801-709-4358
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State

VIII. Authorized Official

Name: WENDY ANDERSON
Title or Position: CORPORATE BUSINESS OFFICER
Credential:
Phone: 385-498-0194