GRACE GROUP HOME LLC (NPI# 1033778121) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033778121 |
| Entity Type | Organization |
| Organization Name | GRACE GROUP HOME LLC |
| Practice Address |
3538 Fremont Ave N Minneapolis MN 55412 |
| Practice Telephone | 6125989923 |
| Mailing Telephone | 6125989923 |
| Enumeration Date | 2019-06-11 |
| Last Update Date | 2019-06-11 |
| Authorized Official Name | ASIA AHMED ALI (OWNER/MANAGER) |
| Authorized Official Telephone | 6125989923 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332U00000X | Home Delivered Meals | Suppliers | ||
| N | 343900000X | Non-emergency Medical Transport (VAN) | Transportation Services | ||
| N | 251E00000X | Home Health | Agencies | ||
| N | 253Z00000X | In Home Supportive Care | Agencies | ||
| Y | 310400000X | Assisted Living Facility | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 34790 | 05 |
| Street Address |
3538 FREMONT AVE N |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55412 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346708138 | Steven Keith Bell | Chiropractor | 3232 Fremont Ave. No, Suite 314, Mpls., MN 55412 | 2019-03-11 |
| 1962998997 | Steven Wolinski | Psychologist | 3830 Washburn Ave N, Minneapolis, MN 55412 | 2018-07-02 |
| 1235676438 | The Helping Hands Mn L.L.C. | Home Health | 860 Blue Gentain Rd, 200, Eagen, MN 55412 | 2017-01-25 |
| 1982070454 | Sylvia Majors | Driver | 3443 Colfax Ave North, Minneapolis, MN 55412 | 2015-08-19 |
| 1962746859 | Maureen Ellis | Social Worker | 4151 Thomas Ave N, Minneapolis, MN 55412 | 2012-11-16 |
| 1770832552 | Mastery School Inc. | Local Education Agency (LEA) | 4021 Thomas Ave N, Minneapolis, MN 55412 | 2012-09-07 |
| 1902171416 | David Anthony Wicklund | Massage Therapist | 2206 44th Ave N, Minneapolis, MN 55412 | 2012-03-16 |
| 1376739656 | Gloria Dean Scales Peterson | Social Worker | 3333 North 4th Street, Minneapolis, MN 55412 | 2007-09-19 |
| 1922173798 | Rodney Allen Lenz | Dentist | 4207 Aldrich Avenue North, Minneapolis, MN 55412 | 2006-11-21 |
| 1376911347 | Chelsea Elizabeth Dean Butay | Social Worker | 3300 Fremont Ave N, Minneapolis, MN 55412 | 2015-09-08 |
| Find all providers in zip 55412 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| 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. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750980603 | Estherra Care LLC | Assisted Living Facility | 1120 Morgan Ave N, Minneapolis, MN 55411-3805 | 2020-10-21 |
| 1275154262 | Ktj 292, LLC | Assisted Living Facility | 22 Malcolm Ave Se, Minneapolis, MN 55414-7584 | 2020-04-30 |
| 1548880479 | Hamdi Ali Mohamed | Assisted Living Facility | 1527 Morgan Ave N, Minneapolis, MN 55411-3013 | 2020-04-21 |
| 1801444344 | Hope Assited Living LLC | Assisted Living Facility | 1942 Washburn Ave N, Minneapolis, MN 55411-2327 | 2019-08-28 |
| 1598244980 | Wellbeing Homes LLC | Assisted Living Facility | 5525 81st Ave N, Minneapolis, MN 55443-2313 | 2018-08-07 |
| 1457837668 | Midwest Group Living Inc. | Assisted Living Facility | 3552 1st Ave S, Minneapolis, MN 55408-4509 | 2018-07-11 |
| 1366804890 | United Care Homes LLC | Assisted Living Facility | 3423 26th Ave S, Minneapolis, MN 55406-2505 | 2016-03-23 |
| 1588058911 | Eden Homes, Inc. | Assisted Living Facility | 3714 Bryant Ave N, Minneapolis, MN 55412-2157 | 2015-03-24 |
| 1407185481 | L & R Investments Inc | Assisted Living Facility | 3439 Central Ave Ne, Minneapolis, MN 55418-4579 | 2009-12-21 |
| 1154567436 | Crown Medical Home Health Agency Inc | Assisted Living Facility | 1925/1931 1st Avenue South, Minneapolis, MN 55403-3724 | 2008-12-17 |
| Find all providers in MINNEAPOLIS | ||||
| City | MINNEAPOLIS |
| Zip Code | 55412 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.