Healthcare Provider Details

I. General information

NPI: 1942386263
Provider Name (Legal Business Name): GRANDVIEW CARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/29/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1900 COLLEGE AVE
VINCENNES IN
47591-5663
US

IV. Provider business mailing address

1900 COLLEGE AVE
VINCENNES IN
47591-5663
US

V. Phone/Fax

Practice location:
  • Phone: 812-886-9870
  • Fax: 812-886-9871
Mailing address:
  • Phone: 812-886-9870
  • Fax: 812-886-9871

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number StateIN

VIII. Authorized Official

Name: MRS. JO A THOMAS
Title or Position: A/R MANAGER
Credential:
Phone: 502-213-1720