Organization Active NPI

Grant Rehab & Care Center

  • Skilled Nursing Facility
  • Petersburg, WV
National Provider Identifier
1740270982
Registry record updated Mar 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
102 Issued in WV
Legal business name
GRANT REHAB & CARE CENTER
Practice address
127 Early Avenue
Petersburg, WV 26847-9403
Phone
(304) 257-4233
Fax
(304) 257-4610
NPI assigned
Oct 27, 2005
Last updated
Mar 3, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2020

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

Authorized official

Name
Teresa Halliday
Title
Administrator
Phone
(304) 257-4233

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 102 WV Primary

Addresses

Primary practice location

127 Early Avenue
Petersburg, WV 26847-9403

Mailing address

127 Early Avenue
Petersburg, WV 26847-9403
Phone (304) 257-4233

Other identifiers 2

IdentifierTypeStateIssuer
1065000OtherWVWORKER'S COMPENSATION
0004108000MedicaidWV

Other names 1

  • Grant County Nursing Home Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200228000348 WV Part A Provider - Skilled Nursing Facility 5092142281 Practice locations: Petersburg, WV

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1740270982. Details of each certification follow.

Skilled nursing facility certification: CCN 515151

Legal name
GRANT REHAB & CARE CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Apr 1, 1997
Last certification
Apr 17, 2024
Beds
110
Ownership / control type
County
Organization structure
CorporationNon-profit
Incorporated
Aug 16, 2017 in WV
Enrollment address
127 Early Ave
Petersburg, WV 26847-7500
Nursing home name
GRANT REHABILITATION AND CARE CENTER

Care Compare: Nursing home

Medicare Care Compare
Listed as
Grant Rehabilitation and Care CenterCCN 515151 · All quality measures
Overall star rating
3 of 5
Health inspections
3 of 5
Staffing
5 of 5
Quality measures
1 of 5
Type
Medicare and Medicaid
Ownership
Government - County
Certified
Apr 1, 1997
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
11087.6 residents per day on average

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
51D0236985Grant County Nursing Home127 Early Avenue, Petersburg, WV 26847Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 1

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

NameRoleSinceShare
Christina Thorne Individual W-2 Managing EmployeePerson in Charge Nov 18, 2019 100%

Practitioners & affiliated clinicians

Practitioners 2

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.

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1130371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583193600000",
    "number": "1740270982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 EARLY AVENUE",
            "city": "PETERSBURG",
            "state": "WV",
            "postal_code": "268479403",
            "telephone_number": "304-257-4233",
            "fax_number": "304-257-4610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 EARLY AVENUE",
            "city": "PETERSBURG",
            "state": "WV",
            "postal_code": "268479403",
            "telephone_number": "304-257-4233",
            "fax_number": "304-257-4610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRANT REHAB & CARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-27",
        "last_updated": "2020-03-03",
        "certification_date": "2020-03-03",
        "status": "A",
        "authorized_official_last_name": "HALLIDAY",
        "authorized_official_first_name": "TERESA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "304-257-4233"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "WV",
            "license": "102",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORKER'S COMPENSATION",
            "identifier": "1065000",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0004108000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grant County Nursing Home",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Petersburg, WV

Sources for this page

Verify at the official NPI Registry.