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
- 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 June 2025. The provider's
- 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
- Code Navigator
Location Map
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.
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 Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 1 | 0 | 4 | 2 | 2 | 9 | 0 | 1 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 0 | 4 | 4 | 2 | 18 | 0 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 0 + 4 + 4 + 2 + 1 + 8 + 0 + 2 + 24 = 48 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 50 - 48 = 2 | 2 | ||||||||
The NPI number 1104229012 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1104229012, enumerated in the NPI registry 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
This medical organization specializes in Assisted Living Facility with taxonomy code 310400000X
The provider's CLIA number is 05D2210345 for a "assisted living facility" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued 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..
This NPI record was last updated on October 06, 2014. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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