Healthcare Provider Details
I. General information
NPI: 1134028608
Provider Name (Legal Business Name): GRANDVIEW OPCO LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/02/2026
Last Update Date: 11/02/2026
Certification Date: 11/02/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
508 2ND ST NE
DAYTON IA
50530-7530
US
IV. Provider business mailing address
508 2ND ST NE
DAYTON IA
50530-7530
US
V. Phone/Fax
- Phone: 515-547-2288
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 314000000X |
| Taxonomy | Skilled Nursing Facility |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
NATHAN
GOLDBERG
Title or Position: PARTNER
Credential:
Phone: 443-208-1826