Active NPI
Grace N' Care L.L.C
- Home Health Agency
- New Brighton, MN
National Provider Identifier
1659907152
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | |||
| Home Health Registered Nurse | 163WH0200X | |||
| Physical Therapist | 225100000X | |||
| Physical Therapy Assistant | 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 Provider | 372500000X | |||
| Home Health Aide | 374U00000X | |||
| Homemaker | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A557693600 | Other | MN | MNDHS |
| A742990300 | Other | MN | MNDHS |
Other names 1
- Grace n' Care L.L.C
National Provider Directory
National Provider DirectoryLocations
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.
-
- Registered Nurse
- New Brighton, MN
- NPI 1073360384
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.