CHARLES PETER GRANDELLI — NPI 1427762376 (CMS-Certified Home Health Care & Skilled Nursing Agency in SAND CITY, CA)

CMS-1500 Box 24J / 33a • NPI

1427762376

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

374U00000X

CMS-Certified Home Health Care & Skilled Nursing Agency

Box 32 Service Location & ZIP+4

1815 CONTRA COSTA ST STE D, SAND CITY, CA, 93955-3056

✓ 9-Digit EDI 837 ZIP+4 (93955-3056)

Practice Phone & Referral Fax

(831) 886-0475

Fax: (831) 855-0157

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1427762376 (CHARLES PETER GRANDELLI) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1427762376` (NPI-1 Individual Practitioner)
Provider / Legal Name	CHARLES PETER GRANDELLI
Plain-English Specialty	CMS-Certified Home Health Care & Skilled Nursing Agency NUCC Code: `374U00000X` (Home Health Aide)
Certifying / Licensing Body	CMS Home Health Conditions of Participation / CHAP / ACHC
Practice Location Address	1815 CONTRA COSTA ST STE D, SAND CITY, CA, 93955-3056
Practice Telephone / Fax	Tel: (831) 886-0475 \| Fax: (831) 855-0157
Administrative Mailing Address	11773 FRANCIS DR, GRASS VALLEY, CA, 95949-6681
Enumeration & Last Sync	Enumerated: 2023-01-05 \| CMS Record Updated: 2023-06-22

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

1815 CONTRA COSTA ST STE D, SAND CITY, CA, 93955-3056

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Plain-English Taxonomy & CMS Crosswalk (374U00000X)

What Does Taxonomy Code 374U00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 374U00000X translates to:
"CMS-Certified Home Health Care & Skilled Nursing Agency"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: CMS Home Health Conditions of Participation / CHAP / ACHC
Clinical Scope: Post-hospital discharge recovery, homebound skilled nursing, physical therapy after joint replacement, or home IV antibiotic therapy.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (CHARLES PETER GRANDELLI)

Typical CPT / Diagnostic Procedures:

In-Home Skilled Nursing Wound Care, Ostomy & Catheter Management
Home Intravenous Antibiotic Infusion (OPAT) & Post-Stroke Rehabilitation

Common Therapeutic Classes:

Home Infusion Antimicrobials, Anticoagulants & Insulin Titration

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`374U00000X` — Home Health Aide Plain English: CMS-Certified Home Health Care & Skilled Nursing Agency	State: CA \| License: `274700004` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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CHARLES PETER GRANDELLI (NPI #1427762376)