Active NPI
Augustana Mount Olivet Hospice Care LLC
Doing business as Grace Palliative Care
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Minneapolis, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Legal business name
- AUGUSTANA MOUNT OLIVET HOSPICE CARE LLC
- Doing business as
- Grace Palliative Care
- Practice address
- 1015 4TH Ave N Ste 206
Minneapolis, MN 55405-1178 - Phone
- (952) 855-5041
- NPI assigned
- Jul 7, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Seelochani Stadtherr
- Title
- Associate VP of Revenue Cycle MGMT
- Phone
- (952) 855-5041
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospice and Palliative Medicine (Internal Medicine) Physician | 207RH0002X | Primary |
Addresses
Primary practice location
1015 4TH Ave N Ste 206
Minneapolis, MN 55405-1178
Mailing address
1015 4TH Ave N Ste 206
Minneapolis, MN 55405-1178
Phone (612) 238-0034
Other names 1
- Grace Palliative Care
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20260617000918 | MN | Part B Supplier - Clinic/Group Practice | 3072746221 |
Receives reassigned benefits from 1 practitioner Practice locations: Minneapolis, MN |
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
- Community Based Hospice Care Agency
- Minneapolis, MN
- NPI 1881012045
3072746221
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
Locations
1015 4th Ave N
Ste 206
Minneapolis, MN 55405
Phone (612) 843-6804
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Geriatric Medicine (Internal Medicine) Physician
- Excelsior, MN
- NPI 1669449674
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1751846400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1784764800000",
"number": "1245120740",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1015 4TH AVE N STE 206",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554051178",
"telephone_number": "612-238-0034"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1015 4TH AVE N STE 206",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554051178",
"telephone_number": "952-855-5041"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AUGUSTANA MOUNT OLIVET HOSPICE CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-07-07",
"last_updated": "2026-07-23",
"certification_date": "2026-07-23",
"status": "A",
"authorized_official_last_name": "STADTHERR",
"authorized_official_first_name": "SEELOCHANI",
"authorized_official_title_or_position": "ASSOCIATE VP OF REVENUE CYCLE MGMT",
"authorized_official_telephone_number": "952-855-5041"
},
"taxonomies": [
{
"code": "207RH0002X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Hospice and Palliative Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Grace Palliative Care",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Grace Palliative Care",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Minneapolis, MN
- Augustana Chapel View Homes, Inc.
- Augustana Community Partners (Heritage Commons)
- Augustana Community Partners
- Augustana Community Partners
- Augustana Community Partners (Augustana Signe Burckhardt)
- Augustana Mount Olivet Hospice Care LLC
- Joshua Ryan Augustin, D.O.
- Daniel Augustinack
- Daniel Augustine, CAPS
- Virginia Aumann, LGSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.