GRAN GRAN'S PLACE
NPI 1457351827
Nursing Facility/Intermediate Care Facility in Yukon, OK

Q: What is Ggp, LLC's NPI number?

The NPI number for Ggp, LLC is 1457351827. It was assigned to this organization in the NPPES registry on July 28, 2005. The provider is doing business as Gran Gran's Place.

Q: What is Ggp, LLC's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Ggp, LLC was last updated on October 21, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.

Active since July 28, 2005CLIA 37D0993398 · Waiver

1110 S CORNWELL DR, YUKON, OK 73099(405) 350-2311(405) 350-2379 Get Directions Write a Review

NPPES record last updated: October 21, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 21, 2020, Aug 22, 2020 (2 updates tracked since 2020).

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About Gran Gran's Place NPPES

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

GRAN GRAN'S PLACE (NPI 1457351827) is a healthcare organization registered as a nursing facility/intermediate care facility in Yukon, Oklahoma and active in the NPI registry since July 2005. The organization holds a CLIA Waiver certificate valid through November 13, 2027 and lists Nell Lusty, Admin/owner, as its authorized official.

NPPES Registry Identity

NPI1457351827

Entity TypeOrganization

Primary Taxonomy313M00000X

Legal Business NameGGP, LLC

Location Address1110 S CORNWELL DRYukon, OK 73099-4632

Mailing Address1110 S Cornwell DrYukon, OK 73099-4632 · (405) 350-2311 · Fax (405) 350-2379

Phone(405) 350-2311

Fax(405) 350-2379

Organization SubpartNo

Authorized OfficialNell LustyAdmin/owner · (405) 350-2311

Enumeration DateJuly 28, 2005

Last NPPES UpdateOctober 21, 20202 updates tracked since enumeration

NPPES CertifiedOctober 21, 2020

✔ NPI 1457351827 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

License✔ Licensed in OK · NH0905-0905

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.

1110 S CORNWELL DR, Yukon, OK 73099

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Other Names 1

Doing Business AsGran Gran's Place

Other Identifiers 1

Medicaid100778340AOK

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 37D0993398

Gran Grans Place · Yukon, OK

Active · expires Nov 13, 2027

CLIA Number37D0993398

Laboratory TypeSkilled Nursing Facility/Nursing Facility

Certificate Effective DateNovember 14, 2025

Certificate Expiration DateNovember 13, 2027

Laboratory DirectorNell Lusty

Laboratory Phone(405) 350-2311

Laboratory LocationGran Grans Place1110 S Cornwell, Yukon, OK 73099

CLIA data matches this NPI record on: Address Phone

This certificate is issued to a laboratory to perform only waived tests.

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 Ggp, LLC's NPI number?

The NPI number for Ggp, LLC is 1457351827. It was assigned to this organization in the NPPES registry on July 28, 2005. The provider is doing business as Gran Gran's Place.

Where is Ggp, LLC located?

Ggp, LLC is located at 1110 S Cornwell Dr, Yukon, OK 73099. The listed phone number is (405) 350-2311.

What is Ggp, LLC's specialty?

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

Does Ggp, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 37D0993398) is associated with this NPI, valid through November 13, 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 Ggp, LLC was last updated on October 21, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.