NPIMap

Organization Active NPI

Grandwood Assisted Living, LC

  • Assisted Living Facility
  • Grove, OK
National Provider Identifier
1629335773
Registry record updated Apr 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
AL2103-2103 Issued in OK
Legal business name
GRANDWOOD ASSISTED LIVING, LC
Practice address
2001 Sunrise Blvd
Grove, OK 74344-3617
Phone
(918) 787-2011
Fax
(918) 787-2077
NPI assigned
Apr 13, 2012
Last updated
Apr 13, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2012

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

Authorized official

Name
Mary Yount
Title
Owner
Phone
(918) 787-2011

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X AL2103-2103 OK Primary

Addresses

Primary practice location

2001 Sunrise Blvd
Grove, OK 74344-3617

Mailing address

2001 Sunrise Blvd
Grove, OK 74344-3617
Phone (918) 787-2011

Other identifiers 1

IdentifierTypeStateIssuer
0451OtherOKOKLAHOMA STATE

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1334275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334275200000",
    "number": "1629335773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 SUNRISE BLVD",
            "city": "GROVE",
            "state": "OK",
            "postal_code": "743443617",
            "telephone_number": "918-787-2011",
            "fax_number": "918-787-2077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 SUNRISE BLVD",
            "city": "GROVE",
            "state": "OK",
            "postal_code": "743443617",
            "telephone_number": "918-787-2011",
            "fax_number": "918-787-2077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRANDWOOD ASSISTED LIVING, LC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-13",
        "last_updated": "2012-04-13",
        "status": "A",
        "authorized_official_last_name": "YOUNT",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "918-787-2011"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "OK",
            "license": "AL2103-2103",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OKLAHOMA STATE",
            "identifier": "0451",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grove, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.