HOUSE OF GRACE NURSING FACILITY, L.L.C.
NPI 1215749254
Nursing Facility/Intermediate Care Facility in Mooreland, OK

Active since January 27, 2025CLIA 37D2320150 · Waiver
402 SE 6TH ST, MOORELAND, OK 73852(479) 228-8548 Get Directions Write a Review

NPPES record last updated: January 27, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About House Of Grace Nursing Facility, L.l.c. NPPES

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

HOUSE OF GRACE NURSING FACILITY, L.L.C. (NPI 1215749254) is a healthcare organization registered as a nursing facility/intermediate care facility in Mooreland, Oklahoma and active in the NPI registry since January 2025. The organization holds a CLIA Waiver certificate valid through March 12, 2027 and lists Rindi Citty, Manager, as its authorized official.

NPPES Registry Identity

NPI1215749254
Entity TypeOrganization
Primary Taxonomy313M00000X
Legal Business NameHOUSE OF GRACE NURSING FACILITY, L.L.C.
Location Address402 SE 6TH STMooreland, OK 73852-9064
Mailing Address402 Se 6th StMooreland, OK 73852-9064 · (479) 228-8548
Organization SubpartNo
Authorized OfficialRindi CittyManager · (479) 228-8548
Enumeration DateJanuary 27, 2025
NPPES CertifiedJanuary 26, 2025
NPI 1215749254 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNursing Facility/Intermediate Care FacilityNursing & Custodial Care Facilities
Taxonomy Code313M00000X
Definition

An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.

402 SE 6TH ST, Mooreland, OK 73852

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 37D2320150

House Of Grace Nursing Facility LLC · Mooreland, OK
Active · expires Mar 12, 2027
CLIA Number37D2320150
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateMarch 13, 2025
Certificate Expiration DateMarch 12, 2027
Laboratory DirectorMica Holloway
Laboratory Phone(580) 994-5570
Laboratory LocationHouse Of Grace Nursing Facility LLC402 SE 6th St, Mooreland, OK 73852
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

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

Occupational Therapist
402 SE 6TH ST
MOORELAND, OK 73852
Nursing Facility/Intermediate Care Facility
402 SE 6TH ST
MOORELAND, OK 73852
Occupational Therapy Assistant
402 SE 6TH ST
MOORELAND, OK 73852
Physical Therapy Assistant
402 SE 6TH ST
MOORELAND, OK 73852

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 House Of Grace Nursing Facility, L.L.C.'s NPI number?

The NPI number for House Of Grace Nursing Facility, L.L.C. is 1215749254. It was assigned to this organization in the NPPES registry on January 27, 2025.

Where is House Of Grace Nursing Facility, L.L.C. located?

House Of Grace Nursing Facility, L.L.C. is located at 402 SE 6th St, Mooreland, OK 73852. The listed phone number is (479) 228-8548.

What is House Of Grace Nursing Facility, L.L.C.'s specialty?

The primary specialty registered for this NPI is Nursing Facility/Intermediate Care Facility with taxonomy code 313M00000X.

Does House Of Grace Nursing Facility, L.L.C. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 37D2320150) is associated with this NPI, valid through March 12, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for House Of Grace Nursing Facility, L.L.C. was last updated on January 27, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.