Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Family Care at Home

Organization Nursing Facility/Intermediate Care Facility · NPI 1407684285

Family Care at Home is a Nursing Facility/Intermediate Care Facility in Blaine, Minnesota. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

4334 122nd Cir NE
Blaine, MN 55449-2103
Phone: (615) 668-0500
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nursing Facility/Intermediate Care Facility (primary) Taxonomy 313M00000X

Record details

NPI number1407684285
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Clovis Gray — Executive Director · (615) 668-0500
NPI enumeratedJuly 23, 2024
Last updated in NPPESJuly 23, 2024
Certification dateJuly 23, 2024
Mailing address4334 122nd Cir Ne, Blaine, MN 55449-2103