GRANVILLE ASSISTED LIVING - PARADISE RETREAT LLC
NPI 1902770308
Assisted Living Facility in Prescott Valley, AZ

Q: What is Granville Assisted Living - Paradise Retreat LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Active since September 30, 2025

5420 N DOLAN CT, PRESCOTT VALLEY, AZ 86314(626) 464-4379 Get Directions Write a Review

NPPES record last updated: September 30, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Granville Assisted Living - Paradise Retreat Llc NPPES

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

GRANVILLE ASSISTED LIVING - PARADISE RETREAT LLC (NPI 1902770308) is a healthcare organization registered as an assisted living facility in Prescott Valley, Arizona and active in the NPI registry since September 2025. The organization lists Gerald Anthony Martin, Owner, as its authorized official.

NPPES Registry Identity

NPI1902770308

Entity TypeOrganization

Primary Taxonomy310400000X

Legal Business NameGRANVILLE ASSISTED LIVING - PARADISE RETREAT LLC

Location Address5420 N DOLAN CTPrescott Valley, AZ 86314-6753

Mailing Address5420 N Dolan CtPrescott Valley, AZ 86314-6753 · (626) 464-4379

Phone(626) 464-4379

Organization SubpartNo

Authorized OfficialGerald Anthony MartinOwner · (626) 464-4379

Enumeration DateSeptember 30, 2025

NPPES CertifiedSeptember 30, 2025

✔ NPI 1902770308 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities

Taxonomy Code310400000X

Definition

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.

5420 N DOLAN CT, Prescott Valley, AZ 86314

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Other Providers at the Same Location NPPES

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

DR. SONGHUI MARTIN RN, PA

Registered Nurse

5420 N DOLAN CT
PRESCOTT VALLEY, AZ 86314

Yavapai County (626) 464-4379

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 Granville Assisted Living - Paradise Retreat LLC's NPI number?

The NPI number for Granville Assisted Living - Paradise Retreat LLC is 1902770308. It was assigned to this organization in the NPPES registry on September 30, 2025.

Where is Granville Assisted Living - Paradise Retreat LLC located?

Granville Assisted Living - Paradise Retreat LLC is located at 5420 N Dolan Ct, Prescott Valley, AZ 86314. The listed phone number is (626) 464-4379.

What is Granville Assisted Living - Paradise Retreat LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

When was this NPI record last updated?

The NPPES record for Granville Assisted Living - Paradise Retreat LLC was last updated on September 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.