Greathomemn

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

1057918-1-AFC Issued in MN

Legal business name

GREATHOMEMN

Practice address

8668 A;Lvarado Court
Inver Grove Heights, MN 55077

Phone

(651) 983-2005

NPI assigned

Jun 2, 2011

Last updated

Jun 2, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Graciela Agne AvilesNPI 1558011940

Title

RN

Phone

(651) 983-2005

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Graciela A Aviles

  • Registered Nurse
  • Inver Grove Heights, MN
  • NPI 1558011940
  NPD (past) Authorized official

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

{
    "created_epoch": "1306972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306972800000",
    "number": "1255625737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8668 A;LVARADO COURT",
            "city": "INVER GROVE HEIGHTS",
            "state": "MN",
            "postal_code": "55077",
            "telephone_number": "651-983-2005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8668 A;LVARADO COURT",
            "city": "INVER GROVE HEIGHTS",
            "state": "MN",
            "postal_code": "55077",
            "telephone_number": "651-983-2005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREATHOMEMN",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-02",
        "last_updated": "2011-06-02",
        "status": "A",
        "authorized_official_last_name": "AVILES",
        "authorized_official_first_name": "GRACIELA",
        "authorized_official_middle_name": "AGNE",
        "authorized_official_title_or_position": "RN",
        "authorized_official_telephone_number": "651-983-2005",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MN",
            "license": "1057918-1-AFC",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GREAT HOME MN",
            "identifier": "4661",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gondola Group (Gondola Group Inc)
• Gould Eye Care LLC
• Scott Robert Graham, DDS
• Grand St Paul CVS LLC (CVS Pharmacy #17549)
• Great Home Aviary (Great Home MN)
• Christopher P. Gregg
• Grounded Roots Counseling & Yoga, PLLC
• Group Health, Inc. (HealthPartners Inver Grove Heights Clinic)
• Madilyn Nicole Guith, AUD
• Timothy Wayne Guthman, D.C.

• Assisted Living Facility in Inver Grove Heights, MN
• Providers in Inver Grove Heights, MN by specialty
• Assisted Living Facility in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2011; 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.