555 JOHN R JUNKIN DRIVE OPCO LLC
NPI 1215745252
Skilled Nursing Facility in Natchez, MS
About 555 John R Junkin Drive Opco Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
555 JOHN R JUNKIN DRIVE OPCO LLC (NPI 1215745252), doing business as Grand Trace Health And Rehabilitation, is a healthcare organization registered as a skilled nursing facility in Natchez, Mississippi and active in the NPI registry since December 2024. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Tiffany Hoback, Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 25D0674553
555 John R Junkin Drive Opco LLC · Natchez, MSOther Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 555 John R Junkin Drive Opco LLC's NPI number?
The NPI number for 555 John R Junkin Drive Opco LLC is 1215745252. It was assigned to this organization in the NPPES registry on December 23, 2024. The provider is doing business as Grand Trace Health and Rehabilitation.
Where is 555 John R Junkin Drive Opco LLC located?
555 John R Junkin Drive Opco LLC is located at 555 John R Junkin Dr, Natchez, MS 39120. The listed phone number is (601) 442-4396.
What is 555 John R Junkin Drive Opco LLC's specialty?
The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.
Does 555 John R Junkin Drive Opco LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 25D0674553) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for 555 John R Junkin Drive Opco LLC was last updated on March 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.