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Contact Information

GRANITE RIDGE HOME HEALTH NURSING CARE, INC.
1060 FULTON ST STE 714
FRESNO, CA93721-2513
 Phone: 559-977-3952
 Fax: 559-420-0310
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Home Health

251E00000X A4[11] Home Health Agency
 

Emergency

163WE0003X
 

Hospice

163WH1000X
 

Infusion Therapy

163WI0500X
Indicates primary specialty

NPI Profile & details for GRANITE RIDGE HOME HEALTH NURSING CARE, INC.

NPI Number 1275043770
LBN Legal business name GRANITE RIDGE HOME HEALTH NURSING CARE, INC.
Authorized official FRANK KELLY - (ASSISTANT ADMINISTRATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 10/10/2017
Last updated 11/06/2025 - About 7 months ago
Identifiers
CA License # 789398
CA Medicaid 1275043770
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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