GGP, LLC

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

License

NH0905-0905 Issued in OK

Legal business name

GGP, LLC

Doing business as

GRAN GRAN'S PLACE

Practice address

1110 S Cornwell Dr
Yukon, OK 73099-4632

Phone

(405) 350-2311

Fax

(405) 350-2379

NPI assigned

Jul 28, 2005

Organization subpart

No

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

Authorized official

Name

Mrs. Nell Lusty

Title

Admin/Owner

Phone

(405) 350-2311

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• GRAN GRAN'S PLACE Doing business as

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Skilled nursing facility certification: CCN 375410

Legal name

GGP LLC

Doing business as

GRAN GRANS PLACE

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

May 21, 2002

Last certification

Jul 10, 2024

Beds

69

Ownership / control type

Partnership

Organization structure

LLCProprietary

Enrollment address

1110 South Cornwell Drive
Gran Grans Place
Yukon, OK 73099-4632

Nursing home name

GRAN GRAN'S PLACE

Listed as

Gran Gran's PlaceCCN 375410 · All quality measures

Overall star rating

3 of 5

Health inspections

3 of 5

Staffing

1 of 5

Quality measures

5 of 5

Type

Medicare and Medicaid

Ownership

For profit - Partnership

Certified

May 21, 2002

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

6928.9 residents per day on average

Processed by Care Compare on Aug 1, 2026.

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

All disclosed owners & managing parties 4

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

Owners & managing parties with NPI records 1

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

• Dan Neal Waters, MD

  • Family Medicine Physician
  • Oklahoma City, OK
  • NPI 1750341012

  Adp of the SNF

  CMS ownership

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Dan Neal Waters, MD

  • Family Medicine Physician
  • Oklahoma City, OK
  • NPI 1750341012
  NPD (past)

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

{
    "created_epoch": "1122508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603238400000",
    "number": "1457351827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 S CORNWELL DR",
            "city": "YUKON",
            "state": "OK",
            "postal_code": "730994632",
            "telephone_number": "405-350-2311",
            "fax_number": "405-350-2379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 S CORNWELL DR",
            "city": "YUKON",
            "state": "OK",
            "postal_code": "730994632",
            "telephone_number": "405-350-2311",
            "fax_number": "405-350-2379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GGP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-28",
        "last_updated": "2020-10-21",
        "certification_date": "2020-10-21",
        "status": "A",
        "authorized_official_last_name": "LUSTY",
        "authorized_official_first_name": "NELL",
        "authorized_official_title_or_position": "ADMIN/OWNER",
        "authorized_official_telephone_number": "405-350-2311",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "OK",
            "license": "NH0905-0905",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100778340A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GRAN GRAN'S PLACE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "GRAN GRAN'S PLACE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Chelsea Erin Gee
• Sybil George, OTR L
• Zachary George, COTA/L
• Joseph Geraci, DPT
• Gfgdc PLLC
• Dinya Ghazawneh
• Kristi Gibbs
• Cindy Gibson, LPC
• Susan Dawn Gibson, LPC
• Elizabeth Amanda Gilbert, COTA/L

• Nursing Facility/Intermediate Care Facility in Yukon, OK
• Providers in Yukon, OK by specialty
• Nursing Facility/Intermediate Care Facility in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.