Grand Meadows Senior Living
Organization Active NPI Assisted Living Facility · Glencoe, MN
NPI 1003047200 · NPPES record last updated Aug 5, 2009
Key facts
- NPI
- 1003047200
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Assisted Living Facility 310400000X
- Legal business name
- GRAND MEADOWS SENIOR LIVING
- Practice address
- 1420 Prairie Ave
Glencoe, MN 55336-4618 - Phone
- (320) 864-5577
- NPI assigned
- Aug 5, 2009
- Organization subpart
- No
Authorized official
- Name
- Howie Groff
- Title
- President
- Phone
- (952) 888-2923
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 24D1102760 | Grand Meadows | Certificate of waiver | Jul 22, 2027 |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | Yes |
Addresses
Primary practice location
1420 Prairie Ave
Glencoe, MN 55336-4618
Mailing address
1420 Prairie Ave
Glencoe, MN 55336-4618
Other providers in Glencoe, MN
- Glencoe Regional Health Services
- Glencoe Regional Health Services
- Glencoe Regional Health Services
- Glencoe Regional Health Services
- Lori Goebel
- Guardian in Home Health & Security, LLC
- Gwen Regnier DMD PLLC
- Hardy Dialysis LLC
- Jennifer Hauser
- Connor Matthew Hedstrom
All providers in Glencoe, MN · Assisted Living Facility in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 5, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.