Grand Village in Home Care

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

GRAND VILLAGE IN HOME CARE

Practice address

1320 N Rockwell Ave Apt B
Oklahoma City, OK 73127-3355

Phone

(405) 821-1806

NPI assigned

Sep 3, 2019

Organization subpart

No

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

Authorized official

Name

Shaleitha Collins, LPNNPI 1114577483

Title

Owner

Phone

(405) 821-1806

Specialties & licenses 1

Addresses

Practitioners 1

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

• Shaleitha Collins

  • Licensed Practical Nurse
  • Oklahoma City, OK
  • NPI 1114577483
  NPD Authorized official

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

{
    "created_epoch": "1567468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567468800000",
    "number": "1972151967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1320 N ROCKWELL AVE APT B",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731273355",
            "telephone_number": "405-821-1806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 N ROCKWELL AVE APT B",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731273355",
            "telephone_number": "405-821-1806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAND VILLAGE IN HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-03",
        "last_updated": "2019-09-03",
        "status": "A",
        "authorized_official_last_name": "COLLINS",
        "authorized_official_first_name": "SHALEITHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-821-1806",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grand Lake Mental Health Center, Inc.
• Grand Lake Mental Health Center, Inc.
• Grand Prairie Pediatric and Allergy Clinic Inc
• Grand Primary Care Clinics
• Grand Slam Rehabilitation L.L.C.
• Michael Henry Grandison, DO
• Gloria Granillo
• Grant Johnson
• Angela Donnell Grant
• Christopher Dewayne Grant

• Home Health Agency in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Home Health Agency in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2019; 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.