MEDICARE: THE GRANDVIEW LLC

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	310400000X	Assisted Living Facility

General Provider Information

NPI Number	:	1144786260
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE GRANDVIEW LLC

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	:	MANAGER
Name	:	MR. JAMES EVAN FRANKEL
Credential	:
Telephone Number	:	323-791-3564

Provider Enumeration Date	:	02/13/2019
Last Update Date	:	02/13/2019

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Directions to “THE GRANDVIEW LLC ” Practice Location

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