Organization Active NPI

Augustana Mount Olivet Hospice Care LLC

Doing business as Grace Palliative Care

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Minneapolis, MN
National Provider Identifier
1245120740
Registry record updated Jul 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Internal Medicine) PhysicianTaxonomy code 207RH0002X
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

Updated by the provider on Jul 23, 2026

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)CodeLicenseStatePrimary
Hospice and Palliative Medicine (Internal Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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).

National Provider Directory

National Provider Directory

Member 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.

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

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.

Verify at the official NPI Registry.