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OAK GROVE RETIREMENT HOME
NPI 1811634157
Nursing Facility/Intermediate Care Facility in Duncan, MS

Active since May 18, 2022CLIA 25D0688526 · Waiver
1/5
Overall Rating
209 OAK CIR, DUNCAN, MS 38740(662) 395-2577(662) 395-2576 Get Directions Write a Review

NPPES record last updated: August 9, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 9, 2023, May 18, 2022 (2 updates tracked since 2022).

About Oak Grove Retirement Home NPPES

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

OAK GROVE RETIREMENT HOME (NPI 1811634157) is a healthcare organization registered as a nursing facility/intermediate care facility in Duncan, Mississippi and active in the NPI registry since May 2022. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Ethan Dreifus, Authorized Signatory, as its authorized official.

NPPES Registry Identity

NPI1811634157
Entity TypeOrganization
Primary Taxonomy313M00000X
Legal Business NameOAK GROVE RETIREMENT OPCO LLC
Location Address209 OAK CIRDuncan, MS 38740-5520
Mailing AddressPo Box 8250Searcy, AR 72145-8250 · (501) 254-0007 · Fax (888) 866-9887
Phone(662) 395-2577
Fax(662) 395-2576
Organization SubpartNo
Authorized OfficialEthan DreifusAuthorized Signatory · (501) 961-8100
Enumeration DateMay 18, 2022
Last NPPES UpdateAugust 9, 20232 updates tracked since enumeration
NPPES CertifiedAugust 9, 2023
✔ NPI 1811634157 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.

209 OAK CIR, Duncan, MS 38740
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Other Names 1

Doing Business AsOak Grove Retirement Home

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 25D0688526

Oak Grove Retirement Home · Duncan, MS
Active · expires Aug 31, 2026
CLIA Number25D0688526
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorGlynn Standifer
Laboratory Phone(601) 395-2577
Laboratory LocationOak Grove Retirement Home209 Oak Circle, Duncan, MS 38740
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Nursing Home Quality Ratings CMS Care Compare

Quality ratings, staffing and inspection history for Oak Grove Retirement Home (CMS certification number 25E115), from CMS Care Compare.

Oak Grove Retirement Home

Nursing home · Duncan, MS
1/5 CMS Overall Rating
OwnershipFor profit - Limited Liability company
CMS Certification Number25E115
Certified Beds60 beds58 residents per day on average
Medicare & Medicaid Participant SinceNovember 24, 1975
Resident & Family CouncilResident council
Automatic sprinkler system

CMS Star Ratings

Quality Measures
Based on a select set of clinical quality measures.
1/5
Long-Stay Quality
Quality of care delivered to long-term residents.
1/5
Staffing
Based on nursing staff hours relative to resident needs.
2/5
Weighted Health Inspection Score
Lower scores are better; the score summarizes deficiencies found on recent inspections.
72
Ratings are assigned by CMS on a one-to-five star scale; five is the highest. Categories without a current CMS rating are not shown.

Staffing & Turnover

Total Nurse Staffing
nurse aide 1.76 · LPN 0.85 · RN 0.36
2.97 hrs per resident per day
Weekend Nurse Staffing
2.63 hrs per resident per day
Physical Therapist Staffing
0 hrs per resident per day
Nursing Staff Turnover
Share of nursing staff who left the facility within the past year.
47.9%
Registered Nurse Turnover
80%
Administrators Who Have Left
In the past year.
0
Higher staffing hours generally allow more direct care time per resident.

Inspections & Enforcement

Facility-Reported Incidents
2
Substantiated Complaints
0
Fines
0
Medicare Payment Denials
0
Total Penalties
0
Counts come from CMS inspections and complaint investigations over approximately the past three years. CMS Care Compare data as of October 1, 2024.

Other Providers at the Same Location NPPES

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

OAK CIRCLE OPERATING LLC
Skilled Nursing Facility
209 OAK CIR
DUNCAN, MS 38740
Bolivar County (732) 366-5705

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 Oak Grove Retirement Opco LLC's NPI number?

The NPI number for Oak Grove Retirement Opco LLC is 1811634157. It was assigned to this organization in the NPPES registry on May 18, 2022. The provider is doing business as Oak Grove Retirement Home.

Where is Oak Grove Retirement Opco LLC located?

Oak Grove Retirement Opco LLC is located at 209 Oak Cir, Duncan, MS 38740. The listed phone number is (662) 395-2577.

What is Oak Grove Retirement Opco LLC's specialty?

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

Does Oak Grove Retirement Opco LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 25D0688526) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Oak Grove Retirement Opco LLC a Medicare-certified nursing home?

Yes. Oak Grove Retirement Home is a Medicare-certified nursing home with 60 certified beds.

What quality rating does Oak Grove Retirement Opco LLC have?

CMS rates Oak Grove Retirement Home 1 out of 5 stars overall on Care Compare. The full measure detail is in the Nursing Home Quality Ratings section above.

When was this NPI record last updated?

The NPPES record for Oak Grove Retirement Opco LLC was last updated on August 9, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.