Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Grand Lake Villa LLC

Skilled Nursing Facility in Grove, OK · enumerated 2006 · authorized official Micheline Nader, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1740354893

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Registry record

Entity type Organization (Type 2)

Legal business name Grand Lake Villa LLC

Practice address 103 W 13th St, Grove, OK, 74344

Phone (918) 786-2276

Enumeration date Nov 20, 2006

Last updated in NPPES Sep 16, 2011

Taxonomy & classification

314000000X Skilled Nursing Facility Nursing & Custodial Care Facilities · License NH 2102-2102 (OK) Primary

Authorized official

Name Micheline Nader

Title Owner

Phone (918) 786-2276

Other identifiers

Identifier	Type	State	Issuer
200059540A	Medicaid	OK	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2011-09-16. Verify at npiregistry.cms.hhs.gov.

Where is Grand Lake Villa LLC located?

The practice location on file with NPPES is in Grove, OK.

Providers at this address

Browse all →

Myra Martin Occupational Therapy Assistant · Grove, OK NPI 1164678876 Kellen Hughes Physical Therapist · Grove, OK NPI 1558610782

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2011-09-16.