GRAND MEADOWS SENIOR LIVING NPI 1003047200

NPI Information

  • NPI: 1003047200
  • Provider Name: GRAND MEADOWS SENIOR LIVING
  • Classification: Assisted Living Facility - 310400000X
  • Entity Type: Organization
  • CLIA Number: 24D1102760
  • Address: 1420 PRAIRIE AVE
    GLENCOE, MN
    ZIP 55336
  • Phone: (320) 864-5577

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NPI Details

GRAND MEADOWS SENIOR LIVING is an assisted living facility in Glencoe, MN. 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 MEADOWS SENIOR LIVING NPI is 1003047200. The provider is registered as an organization entity type.

The provider's business location address is:

1420 PRAIRIE AVE
GLENCOE, MN
ZIP 55336-618
Phone: (320) 864-5577

The provider's authorized official is Howie Groff .
The authorized official title is President and has the following contact phone number (952) 888-2923.

The CLIA number assigned to this NPI record is 24D1102760 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/5/2009 and was last updated on 8/5/2009.

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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