Graceful Living Manor LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

GRACEFUL LIVING MANOR LLC

Practice address

2624 Blaisdell Ave
Minneapolis, MN 55408-1505

Phone

(952) 256-4008

NPI assigned

Jun 28, 2025

Organization subpart

No

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

Authorized official

Name

Abdirizak Abdulahi

Title

Owner

Phone

(952) 256-4008

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1751068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751068800000",
    "number": "1407745201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2624 BLAISDELL AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554081505",
            "telephone_number": "952-256-4008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2624 BLAISDELL AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554081505",
            "telephone_number": "952-256-4008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACEFUL LIVING MANOR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-28",
        "last_updated": "2025-06-28",
        "certification_date": "2025-06-28",
        "status": "A",
        "authorized_official_last_name": "ABDULAHI",
        "authorized_official_first_name": "ABDIRIZAK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "952-256-4008"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grace Therapy Center LLC
• Grace Travel LLC
• Colleen Marie Grace, PT
• Dixie Lee Grace, PH.D.
• James Grace
• Graceful Living Services LLC
• Gracenest Homes
• Matthew Jason Graczyk, M.D.
• Jessica Grad
• Robert David Grady, DDS

• Assisted Living Facility in Minneapolis, MN
• Providers in Minneapolis, 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 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.