Graceland Homes

Primary specialty

Nursing Care AgencyTaxonomy code 251J00000X

Legal business name

GRACELAND HOMES

Practice address

6843 Colfax Ave N
Brooklyn Center, MN 55430

Phone

(763) 267-1979

NPI assigned

Jun 29, 2020

Organization subpart

No

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

Authorized official

Name

Niome Guar, RN

Title

Manager

Phone

(763) 267-1979

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1593388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593388800000",
    "number": "1396362182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6843 COLFAX AVE N",
            "city": "BROOKLYN CENTER",
            "state": "MN",
            "postal_code": "55430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6843 COLFAX AVE N",
            "city": "BROOKLYN CENTER",
            "state": "MN",
            "postal_code": "55430",
            "telephone_number": "763-267-1979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACELAND HOMES",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-29",
        "last_updated": "2020-06-29",
        "certification_date": "2020-06-29",
        "status": "A",
        "authorized_official_last_name": "GUAR",
        "authorized_official_first_name": "NIOME",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "763-267-1979",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Goshen Health Services LLC
• Adrianne Jannibah Gould, COMMUNITY HEALTH
• Grace at Home Care LLC
• Graceful Aging Health Care Inc
• Graceful Lodge, LLC
• Brenda Graham
• Marion Graham
• Joseph John Grahek, C.M.T
• Jamie Granlund
• Mitchlyn Darlene Grant

• Nursing Care Agency in Brooklyn Center, MN
• Providers in Brooklyn Center, MN by specialty
• Nursing Care Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2020; 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.