Grandma'S House Co. LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

GRANDMA'S HOUSE CO. LLC

Practice address

4016 Nevada Ave N
New Hope, MN 55427-1340

Phone

(218) 531-3846

NPI assigned

Mar 31, 2025

Organization subpart

No

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

Authorized official

Name

Jessica Gilbeuna, RN

Title

Program Director

Phone

(218) 671-0959

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1743379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743465600000",
    "number": "1831992999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4016 NEVADA AVE N",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554271340",
            "telephone_number": "218-531-3846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4016 NEVADA AVE N",
            "city": "NEW HOPE",
            "state": "MN",
            "postal_code": "554271340",
            "telephone_number": "218-531-3846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRANDMA'S HOUSE CO. LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-31",
        "last_updated": "2025-04-01",
        "certification_date": "2025-04-01",
        "status": "A",
        "authorized_official_last_name": "GILBEUNA",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "218-671-0959",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251X00000X",
            "taxonomy_group": "",
            "desc": "Supports Brokerage",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Benjamin Goldschmidt, MT-BC
• Ryan Goman, LICSW
• Adam Kurt Gorsetman, MA LPCC
• Emily Rebecca Gralinski
• Grand St. Paul CVS LLC
• Anna Green, OTR/L
• Shea S.M. Gregory, LICSW
• Group Health Plan, Inc
• Group Health Plan, Inc
• Kai Yuken Gunty, PHD, LMFT, LPCC

• Community/Behavioral Health Agency in New Hope, MN
• Providers in New Hope, MN by specialty
• Community/Behavioral Health Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 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.