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

Graceful Lodge, LLC

Organization Home Health Agency · NPI 1629616289

Graceful Lodge, LLC is a Home Health Agency in Brooklyn Center, Minnesota. Registered with an NPI since 2019.

In the registry since
2019
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

6430 June Ave N
Brooklyn Center, MN 55429-2127
Phone: (763) 496-9056
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Home Health Agency (primary) Taxonomy 251E00000X

Record details

NPI number1629616289
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Daniel Brewer — Administrator · (763) 496-9056
Other names Graceful Lodge Home Care
NPI enumeratedDecember 13, 2019
Last updated in NPPESDecember 15, 2019
Certification dateDecember 15, 2019
Mailing address3300 County Road 10 Ste 320f, Brooklyn Center, MN 55429-3072

Other providers in Brooklyn Center