NPIMap

Organization Active NPI

Mt Grant General Hospital

  • Skilled Nursing Facility
  • Hawthorne, NV
National Provider Identifier
1073561718
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
651HOS-10 Issued in NV
Legal business name
MT GRANT GENERAL HOSPITAL
Practice address
200 South a Street
Hawthorne, NV 89415-1510
Phone
(775) 945-2461
Fax
(775) 945-2359
NPI assigned
May 5, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Gregory J Schumann
Title
Business Office Manager
Phone
(775) 945-2461

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 651HOS-10 NV Primary

Addresses

Primary practice location

200 South a Street
Hawthorne, NV 89415-1510

Mailing address

200 South a Street
PO Box 1510
Hawthorne, NV 89415-1510
Phone (775) 945-2461

Other identifiers 1

IdentifierTypeStateIssuer
NV6028OtherNVBLUE CROSS

Other names 1

  • Lefa L Seran Skilled Nursing Facility Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100426000036 NV Part A Provider - Skilled Nursing Facility 1951290337 Practice locations: Hawthorne, NV

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1073561718. Details of each certification follow.

Skilled nursing facility certification: CCN 295001

Legal name
MT GRANT GENERAL HOSPITAL
Doing business as
LEFA L SERAN SNF MT GRANT
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jan 1, 1967
Last certification
Apr 10, 2025
Beds
24
Ownership / control type
Hospital District
Organization structure
GovernmentNon-profit
Enrollment address
200 South a Street
Hawthorne, NV 89415-1510
Nursing home name
LEFA SERAN SNF

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Nursing home

Medicare Care Compare
Listed as
Lefa Seran SNFCCN 295001 · All quality measures
Overall star rating
1 of 5
Health inspections
1 of 5
Staffing
4 of 5
Quality measures
1 of 5
Type
Medicare and Medicaid
Ownership
Government - Hospital district
Certified
Jan 1, 1967
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
2420.7 residents per day on average

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
Mt Grant General Hospital9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 9

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Denise Ferguson Individual Operational/Managerial Control Jun 1, 2022
Adp of the SNF Jun 1, 2022
Mt Grant General Hospital Organization, Hawthorne, NV 5% Or Greater Direct Ownership Interest Nov 1, 1966 100%
Operational/Managerial Control Nov 1, 1966 100%
Adp of the SNF Nov 1, 1966
Paula Reed Individual Corporate DirectorElected Member Board of Trustees Apr 1, 2020
Operational/Managerial Control Apr 1, 2020
Nancy Rutherford Individual Corporate DirectorElected Member Board of Trustees Mar 1, 2020
Operational/Managerial Control Mar 1, 2020
Sandrae J Lehman Individual Operational/Managerial Control Mar 1, 2020
Michelle Dow Individual Corporate DirectorElected Member Board of Trustees Jan 1, 2012
Operational/Managerial Control Jan 1, 2012
Karen Womack Individual Corporate DirectorElected Member Board of Trustees Nov 1, 2017
Operational/Managerial Control Nov 1, 2017
Richard Lee Schumann Individual Corporate DirectorElected Member Board of Trustees Oct 1, 2017
Sharon E Ruch Individual Corporate DirectorMedical Director Board of Trustees Jul 1, 2021
Operational/Managerial Control Jul 1, 2021
Adp of the SNF Jul 1, 2021

Owners & managing parties with NPI records 4

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Mt Grant General HospitalHawthorne, NV, CCN 291300 Hospital Other (100%) Jun 7, 1984
Mt Grant General HospitalHawthorne, NV, CCN 29Z300 Hospital 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Nov 1, 1966
Nov 1, 1966
Mt Grant Medical BuildingHawthorne, NV, CCN 293975 Rural health clinic Other (100%) Jun 7, 1984

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 1

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1073561718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 SOUTH A STREET",
            "address_2": "PO BOX 1510",
            "city": "HAWTHORNE",
            "state": "NV",
            "postal_code": "894151510",
            "telephone_number": "775-945-2461",
            "fax_number": "775-945-2359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 SOUTH A STREET",
            "city": "HAWTHORNE",
            "state": "NV",
            "postal_code": "894151510",
            "telephone_number": "775-945-2461",
            "fax_number": "775-945-2359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MT GRANT GENERAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SCHUMANN",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "BUSINESS OFFICE MANAGER",
        "authorized_official_telephone_number": "775-945-2461"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NV",
            "license": "651HOS-10",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "NV6028",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lefa L Seran Skilled Nursing Facility",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Hawthorne, NV

Sources for this page

Verify at the official NPI Registry.