Organization Active NPI

Grace N' Care L.L.C

  • Home Health Agency
  • New Brighton, MN
National Provider Identifier
1659907152
Registry record updated Nov 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
GRACE N' CARE L.L.C
Practice address
1405 Silver Lake Rd NW Ste 1
New Brighton, MN 55112-9314
Phone
(612) 707-2094
Fax
(651) 286-3355
NPI assigned
Mar 16, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2023

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

Authorized official

Name
Cyril Uwaifo Oboh
Title
Owner/Managing Employee
Phone
(612) 707-2094

Specialties & licenses 12

Specialty (taxonomy)CodeLicenseStatePrimary
Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163W00000X
Home Health Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WH0200X
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X
Physical Therapy AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 225200000X
Home Health Agency 251E00000X Primary
Community/Behavioral Health Agency 251S00000X
In Home Supportive Care Agency 253Z00000X
Durable Medical Equipment & Medical Supplies 332B00000X
Home Delivered Meals 332U00000X
Chore ProviderGroup: 193200000X MULTI-SPECIALTY GROUP 372500000X
Home Health AideGroup: 193200000X MULTI-SPECIALTY GROUP 374U00000X
HomemakerGroup: 193200000X MULTI-SPECIALTY GROUP 376J00000X

Addresses

Primary practice location

1405 Silver Lake Rd NW Ste 1
New Brighton, MN 55112-9314

Mailing address

1405 Silver Lake Rd NW Ste 1
New Brighton, MN 55112-9314
Phone (612) 707-2094

Other identifiers 2

IdentifierTypeStateIssuer
A557693600OtherMNMNDHS
A742990300OtherMNMNDHS

Other names 1

  • Grace n' Care L.L.C Doing business as

National Provider Directory

National Provider Directory

Locations

1405 Silver Lake Rd NW
Ste 1
New Brighton, MN 55112
Phone (612) 707-2094

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": "1584316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698969600000",
    "number": "1659907152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1405 SILVER LAKE RD NW STE 1",
            "city": "NEW BRIGHTON",
            "state": "MN",
            "postal_code": "551129314",
            "telephone_number": "612-707-2094",
            "fax_number": "651-286-3355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 SILVER LAKE RD NW STE 1",
            "city": "NEW BRIGHTON",
            "state": "MN",
            "postal_code": "551129314",
            "telephone_number": "612-707-2094",
            "fax_number": "651-286-3355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE N' CARE L.L.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-16",
        "last_updated": "2023-11-03",
        "certification_date": "2023-11-03",
        "status": "A",
        "authorized_official_last_name": "OBOH",
        "authorized_official_first_name": "CYRIL",
        "authorized_official_middle_name": "UWAIFO",
        "authorized_official_title_or_position": "OWNER/MANAGING EMPLOYEE",
        "authorized_official_telephone_number": "612-707-2094"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "163WH0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapy Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332U00000X",
            "taxonomy_group": "",
            "desc": "Home Delivered Meals",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "372500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chore Provider",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Homemaker",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MNDHS",
            "identifier": "A557693600",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MNDHS",
            "identifier": "A742990300",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grace n' Care L.L.C",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New Brighton, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2023; 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.