NPIMap

Organization Active NPI

Grace & Growth Center LLC

  • Clinic/Center
  • Saint Paul, MN
National Provider Identifier
1538058151
Registry record updated Jun 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
GRACE & GROWTH CENTER LLC
Practice address
808 Berry St Apt 154
Saint Paul, MN 55114-1390
Phone
(651) 775-2334
NPI assigned
Jun 30, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2025

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

Authorized official

Name
Deko Amir SalimNPI 1619737939
Title
Owner
Phone
(651) 775-2334

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

808 Berry St Apt 154
Saint Paul, MN 55114-1390

Mailing address

808 Berry St Apt 154
Saint Paul, MN 55114-1390

National Provider Directory

National Provider Directory

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": "1751241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751241600000",
    "number": "1538058151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "808 BERRY ST APT 154",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551141390",
            "fax_number": "651-775-2334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "808 BERRY ST APT 154",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551141390",
            "telephone_number": "651-775-2334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE & GROWTH CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-30",
        "last_updated": "2025-06-30",
        "certification_date": "2025-06-30",
        "status": "A",
        "authorized_official_last_name": "SALIM",
        "authorized_official_first_name": "DEKO",
        "authorized_official_middle_name": "AMIR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "651-775-2334"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2025; 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.