GRENADA REHABILITATION AND HEALTHCARE CENTER, LLC
NPI 1720038425
Skilled Nursing Facility in Grenada, MS

Active since May 11, 2006CLIA 25D0317207 · Waiver
1966 HILL DR, GRENADA, MS 38901(662) 226-2442(662) 226-9567 Get Directions Write a Review

NPPES record last updated: October 17, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 17, 2017, Jul 11, 2016 (2 updates tracked since 2016).

About Grenada Rehabilitation And Healthcare Center, Llc NPPES

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

GRENADA REHABILITATION AND HEALTHCARE CENTER, LLC (NPI 1720038425) is a healthcare organization registered as a skilled nursing facility in Grenada, Mississippi and active in the NPI registry since May 2006. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Michelle D Meer, Vice President & Secretary, as its authorized official.

NPPES Registry Identity

NPI1720038425
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameGRENADA REHABILITATION AND HEALTHCARE CENTER, LLC
Location Address1966 HILL DRGrenada, MS 38901-5047
Mailing Address1966 Hill DrGrenada, MS 38901-5047 · (662) 226-2442 · Fax (662) 226-9567
Fax(662) 226-9567
Organization SubpartYesParent: Ark Mississippi Holding Company, Llc
Authorized OfficialMichelle D MeerVice President & Secretary · (629) 626-0000
Enumeration DateMay 11, 2006
Last NPPES UpdateOctober 17, 20172 updates tracked since enumeration
NPI 1720038425 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 · 503
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.
1966 HILL DR, Grenada, MS 38901

Other Identifiers 2

Medicare OSCAR/certification255156
Medicaid230070MS

Accepted Insurance

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 25D0317207

Grenada Rehabilitation And Healthcare Center · Grenada, MS
Active · expires Aug 31, 2026
CLIA Number25D0317207
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorJohn Stirewalt
Laboratory Phone(662) 226-2442
Laboratory LocationGrenada Rehabilitation And Healthcare Center1966 Hill Dr, Grenada, MS 38901
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

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

Physical Therapist
1966 HILL DR
GRENADA, MS 38901
Occupational Therapist
1966 HILL DR
GRENADA, MS 38901
Speech-Language Pathologist
1966 HILL DR
GRENADA, MS 38901
Occupational Therapist
1966 HILL DR
GRENADA, MS 38901
Skilled Nursing Facility
1966 HILL DR
GRENADA, MS 38901
Speech-Language Pathologist
1966 HILL 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 Rehabilitation And Healthcare Center, LLC's NPI number?

The NPI number for Grenada Rehabilitation And Healthcare Center, LLC is 1720038425. It was assigned to this organization in the NPPES registry on May 11, 2006.

Where is Grenada Rehabilitation And Healthcare Center, LLC located?

Grenada Rehabilitation And Healthcare Center, LLC is located at 1966 Hill Dr, Grenada, MS 38901. The listed phone number is (662) 226-2442.

What is Grenada Rehabilitation And Healthcare Center, LLC's specialty?

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

Does Grenada Rehabilitation And Healthcare Center, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 25D0317207) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Grenada Rehabilitation And Healthcare Center, LLC accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee list Grenada Rehabilitation And Healthcare Center, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Grenada Rehabilitation And Healthcare Center, LLC was last updated on October 17, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.