GRACE GROUP HOME LLC NPI 1033778121

NPI Information

NPI: 1033778121
Provider Name: GRACE GROUP HOME LLC
Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
3538 FREMONT AVE N
MINNEAPOLIS, MN
ZIP 55412
Phone: (612) 598-9923
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GRACE GROUP HOME LLC is an assisted living facility in Minneapolis, 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. GRACE GROUP HOME LLC NPI is 1033778121. The provider is registered as an organization entity type.

The provider's business location address is:

3538 FREMONT AVE N
MINNEAPOLIS, MN
ZIP 55412
Phone: (612) 598-9923

The provider's authorized official is Asia Ahmed Ali .
The authorized official title is Owner/manager and has the following contact phone number (612) 598-9923.

The enumeration date for this NPI number is 6/11/2019 and was last updated on 6/11/2019.

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	Primary
1	332U00000X	Home Delivered Meals	No
2	343900000X	Non-emergency Medical Transport (VAN)	No
3	251E00000X	Home Health	No
4	253Z00000X	In Home Supportive Care	No
5	310400000X	Assisted Living Facility	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	34790	MEDICAID	MINNESOTA

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: 4/28/2024

NPI Synchronization or Removal

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