1275032369 NPI number — GRANADA HOUSE, INC.

Table of content: (NPI 1275032369)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1275032369 NPI number — GRANADA HOUSE, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
GRANADA HOUSE, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1275032369
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/22/2021
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
70 ADAMSON ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ALLSTON
Provider Business Mailing Address State Name:
MA
Provider Business Mailing Address Postal Code:
02134-1306
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
617-254-2923
Provider Business Mailing Address Fax Number:
617-787-3820

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
70 ADAMSON ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ALLSTON
Provider Business Practice Location Address State Name:
MA
Provider Business Practice Location Address Postal Code:
02134-1306
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
617-254-2923
Provider Business Practice Location Address Fax Number:
617-787-3820
Provider Enumeration Date:
02/05/2018

Additional Information

Authorized Official

Authorized Official Last Name:
DALAL
Authorized Official First Name:
VIJAY
Authorized Official Middle Name:
Authorized Official Title or Position:
PRESIDENT/CEO
Authorized Official Telephone Number:
617-254-2923

Provider Taxonomy Codes

  • Taxonomy code: 101YA0400X , with the licence number:  0269 , registered in the state of MA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 0269 . This is a "RESIDENTIAL REHABILITATION SERVICES LICENSE" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".




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