Provider Demographics
NPI:1902565310
Name:GRANITE POINT CAPITAL II LLC
Entity Type:Organization
Organization Name:GRANITE POINT CAPITAL II LLC
Other - Org Name:PROGRESSIVE HOSPICE SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:COMPLIANCE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CARMON
Authorized Official - Middle Name:
Authorized Official - Last Name:CHRISTIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:916-432-9957
Mailing Address - Street 1:11879 KEMPER RD STE 17
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:CA
Mailing Address - Zip Code:95603-9021
Mailing Address - Country:US
Mailing Address - Phone:530-887-2143
Mailing Address - Fax:
Practice Address - Street 1:11879 KEMPER RD STE 17
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:CA
Practice Address - Zip Code:95603-9021
Practice Address - Country:US
Practice Address - Phone:530-887-2143
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-13
Last Update Date:2023-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based