GRENADA LAKE MEDICAL CENTER
NPI 1053386870
Skilled Nursing Facility in Grenada, MS

Active since February 23, 2006
960 AVENT DR, GRENADA, MS 38901(662) 227-7000(662) 227-7534 Get Directions Write a Review

NPPES record last updated: December 12, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Grenada Lake Medical Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GRENADA LAKE MEDICAL CENTER (NPI 1053386870) is a healthcare organization registered as a skilled nursing facility in Grenada, Mississippi and active in the NPI registry since February 2006. The organization lists Charles L Denton, Ceo, as its authorized official.

NPPES Registry Identity

NPI1053386870
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameGRENADA LAKE MEDICAL CENTER
Location Address960 AVENT DRGrenada, MS 38901-5230
Mailing Address960 Avent DrGrenada, MS 38901-5230 · (662) 227-7000 · Fax (662) 227-7534
Fax(662) 227-7534
Organization SubpartNo
Authorized OfficialCharles L DentonCeo · (662) 227-7005
Enumeration DateFebruary 23, 2006
Last NPPES UpdateDecember 12, 2007
NPI 1053386870 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License Licensed in MS · 11245
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
960 AVENT DR, Grenada, MS 38901

Other Identifiers 1

Medicare ID-Type Unspecified255238MS · Mcr Tcu #

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Medicare Defined Swing Bed Unit
960 AVENT DR
GRENADA, MS 38901
Psychiatry & Neurology (Psychiatry)
960 AVENT DR, UMC GRENADA SENIOR CARE UNIT
GRENADA, MS 38901
Emergency Medicine
960 AVENT DR
GRENADA, MS 38901
Psychiatric Hospital
960 AVENT DR
GRENADA, MS 38901
Hospitalist
960 AVENT DR
GRENADA, MS 38901
Nurse Anesthetist, Certified Registered
960 AVENT DR
GRENADA, MS 38901
Home Health
960 AVENT DR
GRENADA, MS 38901
Nurse Anesthetist, Certified Registered
960 AVENT DR
GRENADA, MS 38901

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Grenada Lake Medical Center's NPI number?

The NPI number for Grenada Lake Medical Center is 1053386870. It was assigned to this organization in the NPPES registry on February 23, 2006.

Where is Grenada Lake Medical Center located?

Grenada Lake Medical Center is located at 960 Avent Dr, Grenada, MS 38901. The listed phone number is (662) 227-7000.

What is Grenada Lake Medical Center's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

When was this NPI record last updated?

The NPPES record for Grenada Lake Medical Center was last updated on December 12, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.