Gracenest Homes

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

GRACENEST HOMES

Practice address

2536 28TH Ave S
Minneapolis, MN 55406-1312

Phone

(612) 254-4949

NPI assigned

Jan 29, 2024

Organization subpart

No

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

Authorized official

Name

Ayub Hashi Sharif

Title

President

Phone

(612) 254-4949

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1706486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706486400000",
    "number": "1932961422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2536 28TH AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554061312",
            "telephone_number": "612-254-4949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2536 28TH AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554061312",
            "telephone_number": "612-254-4949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACENEST HOMES",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-29",
        "last_updated": "2024-01-29",
        "certification_date": "2024-01-29",
        "status": "A",
        "authorized_official_last_name": "SHARIF",
        "authorized_official_first_name": "AYUB",
        "authorized_official_middle_name": "HASHI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "612-254-4949"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Colleen Marie Grace, PT
• Dixie Lee Grace, PH.D.
• James Grace
• Graceful Living Manor LLC
• Graceful Living Services LLC
• Matthew Jason Graczyk, M.D.
• Jessica Grad
• Robert David Grady, DDS
• Stephanie Grady, PA & NP
• Mary Graebner

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2024; 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.