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

Grace Assisted Living LLC

Organization Home Health Agency · NPI 1952947269

Grace Assisted Living LLC is a Home Health Agency in Coon Rapids, Minnesota. Registered with an NPI since 2019.

In the registry since
2019
Specialties on file
5
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2566 112th Ave NW
Coon Rapids, MN 55433-3562
Phone: (612) 227-4036
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Assisted Living Facility (primary) Taxonomy 310400000X
Home Health Agency Taxonomy 251E00000X
Nursing Care Agency Taxonomy 251J00000X
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X
Non-emergency Medical Transport (VAN) Taxonomy 343900000X

Record details

NPI number1952947269
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kefyalew Amante — Owner · (612) 227-4036
NPI enumeratedNovember 21, 2019
Last updated in NPPESFebruary 13, 2020
Certification dateFebruary 13, 2020
Mailing address2566 112th Ave Nw, Coon Rapids, MN 55433-3562

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