Grandview Christian Home

Organization Active NPI Skilled Nursing Facility · Cambridge, MN

NPI 1912935883 · NPPES record last updated Aug 26, 2026

Key facts

NPI
1912935883
Entity type
Organization (NPI type 2)
Primary specialty
Skilled Nursing Facility 314000000X
License
00294 (MN)
Legal business name
GRANDVIEW CHRISTIAN HOME
Practice address
1601 River Hills Pkwy NW
Cambridge, MN 55008-3774
Phone
(763) 689-1474
Fax
(763) 645-1953
NPI assigned
Jun 29, 2006
Organization subpart
No

Authorized official

Name
Jon Tranby
Title
Director
Phone
(651) 631-6102

Owners & managing parties with NPI records 2

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

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Facilities with the same owner 22

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

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

Medicare Care Compare: Nursing home

Listed as
Gracepointe Crossing Gables CCN 245432
Overall star rating
★★★★★ 5 of 5
Health inspections
★★★☆☆ 3 of 5
Staffing
★★★★★ 5 of 5
Quality measures
★★★★★ 5 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
Mar 1, 1987
Medicare certification status
Active (Provider of Services file)
Certified beds
110 · 104.2 residents per day on average
Chain
Presbyterian Homes & Services (21 facilities)

Source: Medicare Care Compare, processed Aug 1, 2026.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MN

Skilled nursing facility certification: CCN 245432

Legal name
GRANDVIEW CHRISTIAN HOME
Doing business as
GRACEPOINTE CROSSING WEST
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Mar 1, 1987
Last certification
Jun 13, 2024
Beds
110
Ownership / control type
Nonprofit Corporation
Multi-facility organization
Presbyterian Home and Services
Organization structure
Corporation · Non-profit
Incorporated
Oct 28, 1959 in MN
Enrollment address
1601 Riverhills Parkway NW
Cambridge, MN 55008-1033
Nursing home name
GRACEPOINTE CROSSING GABLES
Affiliated entity
PRESBYTERIAN HOMES & SERVICES

All disclosed owners & managing parties 9

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

NameRoleSinceShare
Raquel K Bucklew
Individual
Operational/Managerial Control Oct 23, 2023
Adp of the SNF Oct 23, 2023
Mark T Meyer
Individual
Operational/Managerial Control Mar 11, 2011
Adp of the SNF Mar 11, 2011
Mark a Pederson
Individual
Corporate Officer
SVP Operations
Jan 1, 2023 33%
Corporate Director
Board Member
Jan 1, 2023 33%
Jonathan David Fletcher
Individual
Corporate Officer
Ceo, Chair
Feb 1, 2025 33%
Corporate Director
Board Member
Feb 1, 2025 33%
Operational/Managerial Control Feb 1, 2025
Adp of the SNF Feb 1, 2025
PHS Management, LLC
Organization · Roseville, MN
LLC, Management services company, Non-profit, Chain home office
Operational/Managerial Control Mar 11, 2011 100%
Adp of the SNF Nov 25, 2025
Heidi a Peterson
Individual
Corporate Officer
VP of Finance
Jan 1, 2023 33%
Corporate Director
VP of Finance
Jan 1, 2023 33%
Operational/Managerial Control Jan 1, 2023
Adp of the SNF Jan 1, 2023
US Bank National Association
Organization · Minneapolis, MN
Corporation, Financial institution, For-profit
5% Or Greater Mortgage Interest Oct 31, 2016 75%
5% Or Greater Security Interest Oct 31, 2016 75%
Presbyterian Homes and Services
Organization · Roseville, MN
Corporation, Non-profit
5% Or Greater Direct Ownership Interest Mar 11, 2011 100%
Stanley P Dick
Individual
Operational/Managerial Control Jan 1, 2014
Adp of the SNF Jan 1, 2014

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20050509000346 MN Part a Provider - Skilled Nursing Facility 8820038912 Practice locations: Cambridge, MN

National Provider Directory

Locations

322 River Hills Pl
Cambridge, MN 55008
Phone (763) 691-6200

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 00294 MN Yes

Addresses

Primary practice location

1601 River Hills Pkwy NW
Cambridge, MN 55008-3774

Mailing address

2845 Hamline Ave N
Saint Paul, MN 55113-7127
Phone (651) 631-6432

Other identifiers

IdentifierTypeStateIssuer
9742GROtherMNBLUE CROSS BLUE SHIELD
7122543OtherMNMEDICA
893042200MedicaidMN
NH0368OtherMNUCARE

Other names

  • Gracepointe Crossing West Other name

Other providers in Cambridge, MN

All providers in Cambridge, MN · Skilled Nursing Facility in Minnesota

Sources for this page

Verify at the official NPI Registry.