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GRAMERCY COURT NURSING & REHABILITATION
NPI 1063864874
Skilled Nursing Facility in Sacramento, CA

Active since July 05, 2016CLIA 05D0888202 · Waiver
2200 GRAMERCY DR, SACRAMENTO, CA 95825(916) 482-2200 Get Directions Write a Review

NPPES record last updated: August 5, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 5, 2024, Feb 10, 2020, Aug 30, 2017 and 1 more (4 updates tracked since 2016).

About Gramercy Court Nursing & Rehabilitation NPPES

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

GRAMERCY COURT NURSING & REHABILITATION (NPI 1063864874) is a healthcare organization registered as a skilled nursing facility in Sacramento, California and active in the NPI registry since July 2016. The organization holds a CLIA Waiver certificate valid through June 26, 2028 and lists Lois Mastrocola, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1063864874
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameGHC OF SAC - SNF LLC
Location Address2200 GRAMERCY DRSacramento, CA 95825-0308
Mailing Address2200 Gramercy DrSacramento, CA 95825-0308 · (916) 482-2200
Phone(916) 482-2200
Organization SubpartNo
Authorized OfficialLois MastrocolaChief Financial Officer · (714) 241-5600
Enumeration DateJuly 5, 2016
Last NPPES UpdateAugust 5, 20244 updates tracked since enumeration
NPPES CertifiedAugust 5, 2024
✔ NPI 1063864874 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License✔ Licensed in CA · 030000403
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.
2200 GRAMERCY DR, Sacramento, CA 95825
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Other Names 1

Doing Business AsGramercy Court Nursing & Rehabilitation

Other Identifiers 1

MedicaidLTC55459FCA

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 05D0888202

Ghc Of Sac-Snf, LLC Dba Gramercy Court · Sacramento, CA
Active · expires Jun 26, 2028
CLIA Number05D0888202
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateJune 27, 2026
Certificate Expiration DateJune 26, 2028
Laboratory DirectorGalen H. Church, Do
Laboratory Phone(915) 482-2200
Laboratory LocationGhc Of Sac-Snf, LLC Dba Gramercy Court2200 Gramercy Drive, Sacramento, CA 95825
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

GHC OF SAC-RCFE, LLC
Assisted Living Facility
2200 GRAMERCY DR
SACRAMENTO, CA 95825
Sacramento County (916) 482-2200
COTTAGE PARK PLACE L.P.
Skilled Nursing Facility
2200 GRAMERCY DR
SACRAMENTO, CA 95825
Sacramento County (916) 482-2200
MARIA HAZEL TAN RODRIGUEZ
Occupational Therapist
2200 GRAMERCY DR
SACRAMENTO, CA 95825
Sacramento County (916) 482-2200

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 Ghc Of Sac - Snf LLC's NPI number?

The NPI number for Ghc Of Sac - Snf LLC is 1063864874. It was assigned to this organization in the NPPES registry on July 5, 2016. The provider is doing business as Gramercy Court Nursing & Rehabilitation.

Where is Ghc Of Sac - Snf LLC located?

Ghc Of Sac - Snf LLC is located at 2200 Gramercy Dr, Sacramento, CA 95825. The listed phone number is (916) 482-2200.

What is Ghc Of Sac - Snf LLC's specialty?

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

Does Ghc Of Sac - Snf LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0888202) is associated with this NPI, valid through June 26, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Ghc Of Sac - Snf LLC was last updated on August 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.