Organization Active NPI

Gracefull Living LLC

  • Assisted Living Facility
  • Minnetonka, MN
National Provider Identifier
1497688279
Registry record updated Jun 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
GRACEFULL LIVING LLC
Practice address
5424 Rowland Rd
Minnetonka, MN 55343-8916
Phone
(612) 226-0533
Fax
(952) 241-1722
NPI assigned
Jun 3, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2026

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

Authorized official

Name
Ms. Iqro Abdi Osman
Title
Owner
Phone
(612) 226-0533

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

5424 Rowland Rd
Minnetonka, MN 55343-8916

Mailing address

5424 Rowland Rd
Minnetonka, MN 55343-8916
Phone (612) 226-0533

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1780444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781049600000",
    "number": "1497688279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5424 ROWLAND RD",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553438916",
            "telephone_number": "612-226-0533",
            "fax_number": "952-241-1722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5424 ROWLAND RD",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553438916",
            "telephone_number": "612-226-0533",
            "fax_number": "952-241-1722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACEFULL LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-03",
        "last_updated": "2026-06-10",
        "certification_date": "2026-06-10",
        "status": "A",
        "authorized_official_last_name": "OSMAN",
        "authorized_official_first_name": "IQRO",
        "authorized_official_middle_name": "ABDI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-226-0533",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minnetonka, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2026; 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.