NPI 1487759106 · live from the CMS NPI Registry
Convalescent Center Of Grady County
Skilled Nursing Facility in Chickasha, OK. National Provider Identifier 1487759106, active.
NPI record
| NPI | 1487759106 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Skilled Nursing Facility 314000000X |
| Practice location | 2300 W Iowa Ave, Chickasha, OK 73018 |
| Practice phone | 405-224-6456 |
| Enumerated | September 14, 2006 |
| Last updated | February 5, 2026 |
| Authorized official | Kristy Deroin, Director Of Reimbursement |
| Other names | Grace Living Center - Chickasha |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Skilled Nursing Facility primary | 314000000X | NH2603-2603 (OK) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.