NPIMap

Organization Active NPI

Grandview Christian Home

  • Skilled Nursing Facility
  • Cambridge, MN
National Provider Identifier
1912935883
Registry record updated Aug 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
00294 Issued in 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
Last updated
Aug 26, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2026

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

Authorized official

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

Specialties & licenses 1

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

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 4

IdentifierTypeStateIssuer
7122543OtherMNMEDICA
893042200MedicaidMN
9742GROtherMNBLUE CROSS BLUE SHIELD
NH0368OtherMNUCARE

Other names 1

  • Gracepointe Crossing West Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

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

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1912935883. Details of each certification follow.

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
CorporationNon-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

Care Compare: Nursing home

Medicare Care Compare
Listed as
Gracepointe Crossing GablesCCN 245432 · All quality measures
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
ActiveFrom the Provider of Services file
Certified beds
110104.2 residents per day on average
Chain
Presbyterian Homes & Services21 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Member of 1

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

Locations

1601 River Hills Pkwy NW
Cambridge, MN 55008
Phone (763) 689-1474

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

Ownership & related parties

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 OfficerSVP Operations Jan 1, 2023 33%
Corporate DirectorBoard Member Jan 1, 2023 33%
Jonathan David Fletcher Individual Corporate OfficerCeo, Chair Feb 1, 2025 33%
Corporate DirectorBoard 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 OfficerVP of Finance Jan 1, 2023 33%
Corporate DirectorVP 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

Owners & managing parties with NPI records 2

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

Facilities with the same owner 22

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

View all 22

Practitioners & affiliated clinicians

Practitioners 2

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.

Affiliated clinicians 2

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

NPI Registry JSON

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787702400000",
    "number": "1912935883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2845 HAMLINE AVE N",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551137127",
            "telephone_number": "651-631-6432",
            "fax_number": "651-631-6122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 RIVER HILLS PKWY NW",
            "city": "CAMBRIDGE",
            "state": "MN",
            "postal_code": "550083774",
            "telephone_number": "763-689-1474",
            "fax_number": "763-645-1953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRANDVIEW CHRISTIAN HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-29",
        "last_updated": "2026-08-26",
        "certification_date": "2026-08-26",
        "status": "A",
        "authorized_official_last_name": "TRANBY",
        "authorized_official_first_name": "JON",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "651-631-6102"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MN",
            "license": "00294",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA",
            "identifier": "7122543",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "893042200",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "9742GR",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UCARE",
            "identifier": "NH0368",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gracepointe Crossing West",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Cambridge, MN

Sources for this page

Verify at the official NPI Registry.