NPIMap

Organization Active NPI

Graceville Health Center

Doing business as Essentia Health - Grace Home

  • Skilled Nursing Facility
  • Graceville, MN
National Provider Identifier
1699744128
Registry record updated Feb 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
328814 Issued in MN
Legal business name
GRACEVILLE HEALTH CENTER
Doing business as
Essentia Health - Grace Home
Practice address
116 W 2ND St
Graceville, MN 56240-4803
Phone
(320) 748-7261
Fax
(320) 748-8238
NPI assigned
Mar 16, 2006
Last updated
Feb 5, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
ESSENTIA HEALTHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 5, 2026

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

Authorized official

Name
Alan Hurley
Title
Coo
Phone
(701) 364-7667

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 328814 MN Primary

Addresses

Primary practice location

116 W 2ND St
Graceville, MN 56240-4803

Mailing address

PO Box 157
116 W 2ND St
Graceville, MN 56240-4803
Phone (320) 748-7261

Other names 1

  • Essentia Health - Grace Home Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20031103000694 MN Part B Supplier - Clinic/Group Practice 4385556885 Receives reassigned benefits from 36 practitioners
3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Graceville, MN
O20070301000456 MN Part A Provider - Skilled Nursing Facility 4385556885 Practice locations: Graceville, MN

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1699744128. Details of each certification follow.

Skilled nursing facility certification: CCN 245579B

Legal name
GRACEVILLE HEALTH CENTER
Doing business as
ESSENTIA HEALTH GRACE HOME
Organization structure
CorporationNon-profit
Enrollment address
116 W 2ND St
Graceville, MN 56240-7768
Nursing home name
ESSENTIA HEALTH GRACE HOME
Affiliated entity
ESSENTIA HEALTH

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
24D0715456Graceville Health Center Inc116 West 2ND Street, Graceville, MN 56240Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory
Tax ID family
Graceville Missionary B4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 18

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Stefanie Gefroh Ellison Individual Corporate OfficerPresident Aug 12, 2024
Tim D Heilman Individual Corporate DirectorBoard Member Jan 1, 2020
Marc Adams Individual Corporate DirectorBoard Member Jan 1, 2026
Jay M Schmidt Individual Corporate DirectorMedical Director Jan 1, 2024
Operational/Managerial Control Jan 1, 2024
Adp of the SNF Jan 1, 2024
Mark Krejci Individual Corporate DirectorBoard Member Jan 1, 2026
Kimberly Pladson Individual Corporate DirectorBoard Member Jan 1, 2025
Essentia Health Organization, Duluth, MN Non-profit 5% Or Greater Direct Ownership Interest Jul 1, 2023 100%
Adp of the SNF Jan 29, 2025
James M Christensen Individual Corporate DirectorBoard Member Jan 1, 2020
Debra Jean Stueve Individual Operational/Managerial Control Feb 26, 2024
Adp of the SNF Feb 26, 2024
Kevin S Boren Individual Corporate OfficerTreasurer Sep 29, 2025
Taylor Grant Mertz Individual Corporate DirectorBoard Member May 17, 2022
Anderson Saint Georges Individual Corporate DirectorBoard Member Jan 1, 2025
Michael Watters Individual Corporate OfficerSecretary Jul 1, 2023
Alan J Hurley Individual Corporate OfficerCoo May 18, 2023
Operational/Managerial Control May 18, 2023
Adp of the SNF May 18, 2023
Benjamin Cody Smith Individual Corporate DirectorBoard Member May 17, 2022
Douglas J Arvin Individual Corporate OfficerVP of Finance / Cfo May 18, 2023
Operational/Managerial Control May 18, 2023
Adp of the SNF May 18, 2023
Laurie Ann Lewandowski Individual Corporate DirectorBoard Member Jan 1, 2017
Innovis Health LLC Organization, Fargo, ND LLC, Non-profit Operational/Managerial Control Jan 1, 2017
Adp of the SNF Jan 29, 2025

Owners & managing parties with NPI records 12

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 50

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 50

Practitioners & affiliated clinicians

Practitioners 34

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 34

NPI Registry JSON

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

{
    "created_epoch": "1142467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770249600000",
    "number": "1699744128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 157",
            "address_2": "116 W 2ND ST",
            "city": "GRACEVILLE",
            "state": "MN",
            "postal_code": "562404803",
            "telephone_number": "320-748-7261",
            "fax_number": "320-748-8238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 W 2ND ST",
            "city": "GRACEVILLE",
            "state": "MN",
            "postal_code": "562404803",
            "telephone_number": "320-748-7261",
            "fax_number": "320-748-8238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACEVILLE HEALTH CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ESSENTIA HEALTH",
        "enumeration_date": "2006-03-16",
        "last_updated": "2026-02-05",
        "certification_date": "2026-02-05",
        "status": "A",
        "authorized_official_last_name": "HURLEY",
        "authorized_official_first_name": "ALAN",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "701-364-7667"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MN",
            "license": "328814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Essentia Health - Grace Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Graceville, MN

Sources for this page

Verify at the official NPI Registry.