Grace Group Home Llc
LBN: Grace Group Home Llc
Grace Group Home Llc is an health care organization with primary practice located at 3538 Fremont Ave N , Minneapolis MN 55412. The organization recently has 5 registered licenses in different health care specialties including Agencies / Home Health, Agencies / In Home Supportive Care, Nursing & Custodial Care Facilities / Assisted Living Facility, Suppliers / Home Delivered Meals, Transportation Services / Non-emergency Medical Transport (VAN). Nursing & Custodial Care Facilities / Assisted Living Facility is the primary health care specialty.
Grace Group Home Llc can be contacted via phone (612) 598-9923, or through Ali, Asia Ahmed via phone (612) 598-9923.
Contact Information
Primary practice address
3538 Fremont Ave N
Minneapolis MN 55412
Phone: (612) 598-9923
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Home Health | 251E00000X | ||
| Agencies / In Home Supportive Care | 253Z00000X | ||
| Nursing & Custodial Care Facilities / Assisted Living Facility | 310400000X | ||
| Suppliers / Home Delivered Meals | 332U00000X | ||
| Transportation Services / Non-emergency Medical Transport (VAN) | 343900000X |
Profile Details
| NPI number | 1033778121 |
|---|---|
| LBN Legal business name | Grace Group Home Llc |
| DBA Doing business as | |
| Authorized official | Ali, Asia Ahmed |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 11th, 2019 |
| Last updated | Jun 11th, 2019 - about 5 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1033778121 | NPPES |
| Minnesota | MEDICAID | 34790 |
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