GRAND LAKE OPERATIONS NPI 1699326751

NPI Information

  • NPI: 1699326751
  • Provider Name: GRAND LAKE OPERATIONS
  • Classification: Assisted Living Facility - 310400000X
  • Entity Type: Organization
  • CLIA Number: 36D1007751
  • Address: 1035 HAGER STREET
    SAINT MARYS, OH
    ZIP 45885
  • Phone: (419) 394-3308

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NPI Details

GRAND LAKE OPERATIONS is an assisted living facility in Saint Marys, OH. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. GRAND LAKE OPERATIONS NPI is 1699326751. The provider is registered as an organization entity type.

The provider's business location address is:

1035 HAGER STREET
SAINT MARYS, OH
ZIP 45885
Phone: (419) 394-3308
Fax: (419) 394-3300

The provider's authorized official is Mark S Mccleery .
The authorized official title is Cfo and has the following contact phone number (419) 238-0715.

The CLIA number assigned to this NPI record is 36D1007751 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/20/2019 and was last updated on 9/20/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1310400000XAssisted Living FacilityYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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