CREEKSIDE HEALTHCARE CENTER
NPI 1811969355
Skilled Nursing Facility in San Pablo, CA

Active since February 07, 2006
1900 CHURCH LN, SAN PABLO, CA 94806(510) 235-5514 Get Directions Write a Review

NPPES record last updated: September 10, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Creekside Healthcare Center NPPES

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

CREEKSIDE HEALTHCARE CENTER (NPI 1811969355) is a healthcare organization registered as a skilled nursing facility in San Pablo, California and active in the NPI registry since February 2006. The organization lists Andrea Saavedra, Director Of Accounts Receivable, as its authorized official.

NPPES Registry Identity

NPI1811969355
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameGRANCARE LLC
Location Address1900 CHURCH LNSan Pablo, CA 94806-3708
Mailing Address1900 Church LnSan Pablo, CA 94806-3708 · (510) 235-5514
Organization SubpartNo
Authorized OfficialAndrea SaavedraDirector Of Accounts Receivable · (707) 208-1940
Enumeration DateFebruary 7, 2006
Last NPPES UpdateSeptember 10, 2013
NPI 1811969355 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 · 314000000
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.
1900 CHURCH LN, San Pablo, CA 94806

Other Names 1

Doing Business AsCreekside Healthcare Center

Other Identifiers 2

MedicaidLTC05099ICA
Medicare ID-Type Unspecified05-5099CA

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.

Physical Therapist
1900 CHURCH LN
SAN PABLO, CA 94806
Skilled Nursing Facility
1900 CHURCH LN
SAN PABLO, CA 94806
Internal Medicine
1900 CHURCH LN
SAN PABLO, CA 94806

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 1811969355. It was assigned to this organization in the NPPES registry on February 7, 2006. The provider is doing business as Creekside Healthcare Center.

Where is Grancare LLC located?

Grancare LLC is located at 1900 Church Ln, San Pablo, CA 94806. The listed phone number is (510) 235-5514.

What is Grancare LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Grancare LLC was last updated on September 10, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.