Provider Demographics
NPI:1265302947
Name:A GRAND HOME CARE INC.
Entity type:Organization
Organization Name:A GRAND HOME CARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:ETHEL JANE
Authorized Official - Middle Name:OCAMPO
Authorized Official - Last Name:MONTERROSO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-634-7522
Mailing Address - Street 1:1132 LEVINSON ST
Mailing Address - Street 2:
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90502-1853
Mailing Address - Country:US
Mailing Address - Phone:310-634-7522
Mailing Address - Fax:310-832-1960
Practice Address - Street 1:1132 LEVINSON ST
Practice Address - Street 2:
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90502-1853
Practice Address - Country:US
Practice Address - Phone:310-634-7522
Practice Address - Fax:310-832-1960
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-11-07
Last Update Date:2025-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility