GRANDWOOD ASSISTED LIVING, LC (NPI# 1629335773) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629335773 |
| Entity Type | Organization |
| Organization Name | GRANDWOOD ASSISTED LIVING, LC |
| Practice Address |
2001 Sunrise Blvd Grove OK 74344-3617 |
| Practice Telephone | 9187872011 |
| Practice Fax Number | 9187872077 |
| Mailing Telephone | 9187872011 |
| Mailing Fax Number | 9187872077 |
| Enumeration Date | 2012-04-13 |
| Last Update Date | 2012-04-13 |
| Authorized Official Name | MARY YOUNT (OWNER) |
| Authorized Official Telephone | 9187872011 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | AL2103-2103 | OK | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | OKLAHOMA STATE | 0451 | 01 |
| Street Address |
2001 SUNRISE BLVD |
| City | GROVE |
| State | OK |
| Zip Code | 74344-3617 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326604935 | Deborah Stauss | Massage Therapist | 2086 S Main St, Grove, OK 74344 | 2019-05-20 |
| 1841776705 | Progressive Orthotic & Prosthetic Services, Inc | Prosthetic/Orthotic Supplier | 10 E 6th St., Grove, OK 74344 | 2018-07-13 |
| 1205329232 | Andra Renee Mitchell | Speech-Language Pathologist | 825 E Third Street, Grove, OK 74344 | 2018-06-13 |
| 1861996217 | Jenniffer Colleen Clark I | Case Manager/Care Coordinator | 1115 Har-ber Rd, Grove, OK 74344 | 2018-03-21 |
| 1417458167 | Jason S Beckham | Case Manager/Care Coordinator | 32600 S. 625 Road, Grove, OK 74344 | 2018-02-27 |
| 1659872034 | Keli Elaine Whitlock | Peer Specialist | 5602 Us Hwy 59, Grove, OK 74344 | 2018-02-22 |
| 1851899454 | Nichole Marie Wooton | Case Manager/Care Coordinator | 1115 Har-ber Road, Grove, OK 74344 | 2018-01-29 |
| 1043766645 | Samantha Lane | Speech-Language Pathologist | 1046 Hillside Road, Grove, OK 74344 | 2016-09-01 |
| 1376927509 | Matthew Kyle Allen | Physical Therapy Assistant | 4621 Hwy 59 N, Grove, OK 74344 | 2015-07-17 |
| 1477807428 | Andrew Scott Littlejohn | Physical Therapy Assistant | 103 Harber Road, Grove, OK 74344 | 2012-10-30 |
| Find all providers in zip 74344 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| 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. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144834482 | Red Bud Assisted Living LLC | Assisted Living Facility | 215 W Freeman Ave, Perkins, OK 74059-5600 | 2020-09-03 |
| 1295371466 | Belfair of Mcalester LLC | Assisted Living Facility | 802 Windsong Way, Mcalester, OK 74501 | 2019-11-22 |
| 1396279808 | Teal Creek Life Care Community Inc | Assisted Living Facility | 13501 N. Bryant Ave., Edmond, OK 73013 | 2017-04-12 |
| 1568855278 | Remember When Assisted Living, LLC | Assisted Living Facility | 5729 Nw 82nd St, Oklahoma City, OK 73132-4909 | 2015-03-05 |
| 1306243019 | Green Country Rehabilitation | Assisted Living Facility | 3535 Nw 58th St Ste 940, Oklahoma City, OK 73112-4802 | 2014-11-24 |
| 1871908913 | Edmond Memory Care, LLC | Assisted Living Facility | 1001 S Bryant Ave, Edmond, OK 73034-5745 | 2014-06-27 |
| 1508270380 | Heatheridge Health Care, LLC | Assisted Living Facility | 2130 S 85th East Ave, Tulsa, OK 74129-3066 | 2014-06-19 |
| 1740608660 | United Senior Properties of Shawnee, LLC | Assisted Living Facility | 789 E Country Grove Dr, Shawnee, OK 74804-1404 | 2014-03-29 |
| 1730507658 | United Senior Properties of Seminole, LLC | Assisted Living Facility | 2207 West Wrangler Blvd, Seminole, OK 74868 | 2014-03-29 |
| 1962837039 | Hugo Family Pharmacy | Assisted Living Facility | 420 E Jackson St, Hugo, OK 74743-4021 | 2013-09-09 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.