Grace at Home Care LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

GRACE AT HOME CARE LLC

Practice address

3124 65TH Ave N
Brooklyn Center, MN 55429-2243

Phone

(952) 564-4167

NPI assigned

Aug 16, 2025

Organization subpart

No

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

Authorized official

Name

Dr. Douglas Ayega

Title

Director

Phone

(952) 564-4167

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1755302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755302400000",
    "number": "1700763471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14513 OXBOW CT",
            "city": "DAYTON",
            "state": "MN",
            "postal_code": "553274416",
            "telephone_number": "952-564-4167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3124 65TH AVE N",
            "city": "BROOKLYN CENTER",
            "state": "MN",
            "postal_code": "554292243",
            "telephone_number": "952-564-4167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE AT HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-16",
        "last_updated": "2025-08-16",
        "certification_date": "2025-08-16",
        "status": "A",
        "authorized_official_last_name": "AYEGA",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "952-564-4167",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Brooklyn Center, MN
• Providers in Brooklyn Center, MN by specialty
• Assisted Living Facility in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 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.