SKYLINE HEALTHCARE CENTER - LOS ANGELES
NPI 1023080660
Skilled Nursing Facility in Los Angeles, CA

Active since February 07, 2006CLIA 05D0866951 · Waiver
3032 ROWENA AVE, LOS ANGELES, CA 90039(323) 665-1185 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Skyline Healthcare Center - Los Angeles NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SKYLINE HEALTHCARE CENTER - LOS ANGELES (NPI 1023080660) is a healthcare organization registered as a skilled nursing facility in Los Angeles, California and active in the NPI registry since February 2006. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Andrea Saavedra, Regional Financial Analyst, as its authorized official.

NPPES Registry Identity

NPI1023080660
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameGRANCARE LLC
Location Address3032 ROWENA AVELos Angeles, CA 90039-2005
Mailing Address3032 Rowena AveLos Angeles, CA 90039-2005 · (323) 665-1185
Organization SubpartNo
Authorized OfficialAndrea SaavedraRegional Financial Analyst · (707) 208-1940
Enumeration DateFebruary 7, 2006
Last NPPES UpdateAugust 22, 2020
NPI 1023080660 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
3032 ROWENA AVE, Los Angeles, CA 90039

Other Names 1

Doing Business AsSkyline Healthcare Center - Los Angeles

Other Identifiers 1

MedicaidZZT05783HCA

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D0866951

Skyline Healthcare & Wellness Center, LLC Dba Skyline Healthcare Center · Los Angeles, CA
Active · expires Aug 31, 2026
CLIA Number05D0866951
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorCarlos Martinez
Laboratory Phone(323) 665-1185
Laboratory LocationSkyline Healthcare & Wellness Center, LLC Dba Skyline Healthcare Center3032 Rowena Ave, Los Angeles, CA 90039
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Skilled Nursing Facility
3032 ROWENA AVE
LOS ANGELES, CA 90039

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Grancare LLC's NPI number?

The NPI number for Grancare LLC is 1023080660. It was assigned to this organization in the NPPES registry on February 7, 2006. The provider is doing business as Skyline Healthcare Center - Los Angeles.

Where is Grancare LLC located?

Grancare LLC is located at 3032 Rowena Ave, Los Angeles, CA 90039. The listed phone number is (323) 665-1185.

What is Grancare LLC's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Does Grancare LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0866951) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Grancare LLC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.