Organization Active NPI

Essential Grace Inc

  • Clinic/Center
  • Minneapolis, MN
National Provider Identifier
1215506936
Registry record updated Jun 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
ESSENTIAL GRACE INC
Practice address
2833 13TH Ave S Ste 215
Minneapolis, MN 55407-1417
Phone
(612) 978-0760
NPI assigned
Jun 18, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ahmed Adam
Title
Owner
Phone
(612) 978-0760

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

2833 13TH Ave S Ste 215
Minneapolis, MN 55407-1417

Mailing address

2833 13TH Ave S Ste 215
Minneapolis, MN 55407-1417

National Provider Directory

National Provider Directory

Locations

2833 13th Ave S
Ste 215
Minneapolis, MN 55407
Phone (612) 978-0760

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1623974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623974400000",
    "number": "1215506936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2833 13TH AVE S STE 215",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554071417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2833 13TH AVE S STE 215",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554071417",
            "telephone_number": "612-978-0760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESSENTIAL GRACE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-18",
        "last_updated": "2021-06-18",
        "certification_date": "2021-06-18",
        "status": "A",
        "authorized_official_last_name": "ADAM",
        "authorized_official_first_name": "AHMED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-978-0760"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.