ACTIVE ADULT DAY HEALTH CARE – NPI #1417036518
Clinic/Center

ACTIVE ADULT DAY HEALTH CARE is an AHC clinic located in LONG BEACH, CA. NPPES has assigned the NPI number 1417036518 to ACTIVE ADULT DAY HEALTH CARE on November 02, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “ACTIVE ADULT DAY HEALTH CARE” is a dba name, the actual legal business name for this organization is GRANADA CARE INC. The primary taxonomy selected by this provider is 261QA0600X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Adult Day Care

The NPI profile was previously updated about 6 years ago on Aug 22, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ACTIVE ADULT DAY HEALTH CARE below.

NPI Profile for
GRANADA CARE INC

NPI Number
1417036518
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
GRANADA CARE INC
Doing Business As (dba): ACTIVE ADULT DAY HEALTH CARE
Primary location
2385 PACIFIC AVE
LONG BEACH, CA 90806
Phone: (562) 426-7772 Fax: (562) 426-0797
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
LEVI RAICHIX
OWNER ADMINISTRATOR
Phone: (562) 426-7772
Updated
Identifiers

Identifiers for ACTIVE ADULT DAY HEALTH CARE

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDCAADU70174F
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QA0600X
- Clinic/Center / Adult Day Care (Primary)		 CA

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.