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Rolla Grand LLC

NPI 1881249464ActiveOrganization· Skilled Nursing Facility· Rolla, MO

Skilled Nursing Facility in Rolla, Missouri, registered in NPPES in August 2019. The authorized official on file is Greg Spence, Owner. Enrolled in Medicare as part a provider - skilled nursing facility.

Overview

NPI1881249464
StatusActive
Entity typeOrganization
NPI issuedAug 9, 2019
Last updated in NPPESAug 9, 2019

Specialties and licenses

TaxonomyCodeLicenseState
Skilled Nursing Facility Primary314000000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Part A Provider - Skilled Nursing Facility (MO)

Medicare sources and data years

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