GRENADA LAKE MEDICAL CENTER – NPI #1053386870
Skilled Nursing Facility

(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.

GRENADA LAKE MEDICAL CENTER is a skilled nursing facility (SNF) located in GRENADA, MS. NPPES has assigned the NPI number 1053386870 to GRENADA LAKE MEDICAL CENTER on February 23, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 314000000X from the Health Care Provider Taxonomy code set, which is classified as Skilled Nursing Facility.

The NPI profile was previously updated about 18 years ago on Dec 12, 2007. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for GRENADA LAKE MEDICAL CENTER below.

NPI Profile for
GRENADA LAKE MEDICAL CENTER

NPI Number
1053386870
Enumeration Date

(more than 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
GRENADA LAKE MEDICAL CENTER
Primary location
960 AVENT DR
GRENADA, MS 38901-5230
Phone: (662) 227-7000 Fax: (662) 227-7534
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
CHARLES DENTON
CEO
Phone: (662) 227-7005
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
314000000X
- Skilled Nursing Facility (Primary)
MS 11245

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.