GRAND LAKE VILLA LLC
NPI 1740354893
Skilled Nursing Facility in Grove, OK

Active since November 20, 2006
103 W 13TH ST, GROVE, OK 74344(918) 786-2276 Get Directions Write a Review

NPPES record last updated: September 16, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Grand Lake Villa Llc NPPES

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

GRAND LAKE VILLA LLC (NPI 1740354893) is a healthcare organization registered as a skilled nursing facility in Grove, Oklahoma and active in the NPI registry since November 2006. The organization lists Micheline Nader, Owner, as its authorized official.

NPPES Registry Identity

NPI1740354893
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameGRAND LAKE VILLA LLC
Location Address103 W 13TH STGrove, OK 74344-3224
Mailing Address103 W 13th StGrove, OK 74344-3224 · (918) 786-2276
Organization SubpartNo
Authorized OfficialMicheline NaderOwner · (918) 786-2276
Enumeration DateNovember 20, 2006
Last NPPES UpdateSeptember 16, 2011
NPI 1740354893 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 OK · NH 2102-2102
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.

103 W 13TH ST, Grove, OK 74344

Other Identifiers 2

Medicaid200059540AOK
Medicare ID-Type Unspecified375116OK

Accepted Insurance

Other Providers at the Same Location NPPES 2

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

Occupational Therapy Assistant
103 W 13TH ST
GROVE, OK 74344
Physical Therapist
103 W 13TH ST
GROVE, OK 74344

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 Grand Lake Villa LLC's NPI number?

The NPI number for Grand Lake Villa LLC is 1740354893. It was assigned to this organization in the NPPES registry on November 20, 2006.

Where is Grand Lake Villa LLC located?

Grand Lake Villa LLC is located at 103 W 13th St, Grove, OK 74344. The listed phone number is (918) 786-2276.

What is Grand Lake Villa LLC's specialty?

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

What insurance does Grand Lake Villa LLC accept?

Health plans from Blue Cross and Blue Shield of Oklahoma list Grand Lake Villa 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 Grand Lake Villa LLC was last updated on September 16, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.