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GRANVILLE ASSISTED LIVING, LLC

Point of Service

This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.

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Contact Information

GRANVILLE ASSISTED LIVING, LLC
5807 GRANVILLE PARKWAY
LA VISTA, NE  68128
 Phone: 402-933-6405
 Fax: 402-505-9144
 Website:
 

Specialty

 Taxonomy Code Specialty Code Provider Type

Point of Service

 305S00000X
Indicates primary specialty

NPI Profile & details for GRANVILLE ASSISTED LIVING, LLC

NPI Number 1730385709
LBN Legal business name GRANVILLE ASSISTED LIVING, LLC
Authorized official JOHN HOLTZ - (CONTROLLER)
Entity Organization
Organization subpart 1 No
Enumeration date 06/26/2007
Last updated 05/13/2008 - About 18 years ago
Identifiers n/a
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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