GRANITE HILLS SENIOR LIVING, INC.
NPI 1104229012
Assisted Living Facility in El Cajon, CA

NPI Status: Active since October 06, 2014

Contact Information

768 DOROTHY ST
EL CAJON, CA
ZIP 92019
Phone: (619) 444-8270
Fax: (619) 444-0872

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  • Organization
  • Assisted Living Facility
  • CLIA Number: 05D2210345
  • CLIA Cert. Type: Assisted Living Facility
  • CLIA Exp. Date: 01-20-2027

About GRANITE HILLS SENIOR LIVING, INC.

This page provides the complete NPI Profile along with additional information for Granite Hills Senior Living, Inc., a provider established in El Cajon, California operating as a Assisted Living Facility. The healthcare provider is registered in the NPI registry with number 1104229012 assigned on October 2014. The practitioner's primary taxonomy code is 310400000X. The provider is registered as an organization and their NPI record was last updated one year ago. The provider's . The authorized official of this NPI record is Amber L Tueller (Secretary)

NPI
1104229012
Provider Legal Name
GRANITE HILLS SENIOR LIVING, INC.
Other Organization Name
Other Name Type
(6)
Entity Type
Organization
Location Address
768 DOROTHY ST EL CAJON, CA 92019
Location Phone
(619) 444-8270
Location Fax
(619) 444-0872
Mailing Address
768 DOROTHY ST EL CAJON, CA 92019
Mailing Phone
(619) 444-8270
Mailing Fax
(619) 444-0872
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-06-2014
Last Update Date
06-11-2025
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Assisted Living Facility

Taxonomy Code
310400000X
Type
Nursing & Custodial Care Facilities
License State
CA
Taxonomy Description
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

AMBER L TUELLER

Authorized Official Title
SECRETARY
Authorized Official Phone
(208) 207-2726

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
05D2210345
Facility Type
Assisted Living Facility
Certificate Effective Date
January 21, 2025
Certificate Expiration Date
January 20, 2027
Laboratory Director
ROBERT SCHREIMAN
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Granite Hills Senior Living, Inc. to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1104229012, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 48. The final step is to find the difference between that total and the next multiple of ten (50 - 48 = 2).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
0
Doubled → 0
Pos 4
4
Unchanged
Pos 5
2
Doubled → 4
Pos 6
2
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
0
Unchanged
Pos 9
1
Doubled → 2
Check
2
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 0 → 0 2 → 4 9 → 18 → 9 1 → 2

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 0 + 4 + 4 + 2 + 1 + 8 + 0 + 2 + 24 = 48

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 48 is 50. The difference is the calculated check digit.

50 - 48 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1104229012.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Occupational Therapist
768 DOROTHY ST
EL CAJON, CA 92019

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104229012, enumerated as an "organization" on October 06, 2014.

The provider is located at 768 DOROTHY ST EL CAJON, CA 92019 and the phone number is (619) 444-8270.

Assisted Living Facility with taxonomy code 310400000X.