Granite Wellness Centers in Roseville - Community/behavioral Health
Granite Wellness Centers - NPI 1255526042
Granite Wellness Centers is a Community/behavioral Health in Roseville, California. Granite Wellness Centers practices all healthcare services and medical treatments related to Community/behavioral Health. The NPI Number for Granite Wellness Centers is 1255526042. The last update date is 2023-03-27.
Granite Wellness Centers's current location address is 406 Sunrise Ave Ste 100, Roseville, California. You can contact this provider via phone number 9168721517 and fax number 9167978979. The mailing address for Granite Wellness Centers is 406 Sunrise Ave Ste 100, Roseville, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Granite Wellness Centers |
|---|---|
| Address | 406 Sunrise Ave Ste 100, Roseville, California |
| Phone Number | 9168721517 |
| Fax Number | 9167978979 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OPERATIONS |
|---|---|
| Authorized Official Name | Ebbert Elaine |
| Telephone Number | 5308785166 |
NPI Number Detail
| NPI Number | 1255526042 |
|---|---|
| Provider Enumeration Date | 2007-09-13 |
| Last Updated Date | 2023-03-27 |
Provider Mailing Address Detail
| Address | 406 Sunrise Ave Ste 100 |
|---|---|
| City | Roseville |
| State | California (CA) |
| Post Code | 956614106 |
| Phone Number | 9168721517 |
| Fax Number | 9167978979 |
Provider's Primary Taxonomy Detail
| Speciality | Community/behavioral Health |
|---|---|
| Taxonomy | 251S00000X |
| Licence No | 310019EN |
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Definition: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those dis |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 31AA | CA | MEDI-CAL |
Post Comment/ Review Below
What is the unique provider identifier assigned to Granite Wellness Centers?
The Granite Wellness Centers has been issued the NPI (National Provider Identifier) 1255526042 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete address where Granite Wellness Centers is physically located?
The Granite Wellness Centers is situated at the following address: 406 Sunrise Ave Ste 100, Roseville, CA 956614106.
What is Granite Wellness Centers's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Granite Wellness Centers is Community/behavioral Health, and the taxonomy code that categorizes this field of expertise is 251S00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1255526042 to Granite Wellness Centers?
The Centers for Medicare & Medicaid Services assigned the 1255526042 to Granite Wellness Centers on 2007-09-13.
When was the information related to Granite Wellness Centers most recently updated or refreshed?
The details pertaining to the Granite Wellness Centers, including its address, specialty, and other relevant information, were last updated or refreshed on 2023-03-27.