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

Gracehaven Home Care LLC

Organization Home Health Agency · NPI 1790664134

Gracehaven Home Care LLC is a Home Health Agency in Bloomington, Minnesota. Registered with an NPI since 2025.

In the registry since
2025
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

8030 Old Cedar Ave S Ste 121
Bloomington, MN 55425-1214
Phone: (612) 804-7865
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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 number1790664134
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mohamed Mohamed — Owner · (612) 772-7319
NPI enumeratedAugust 29, 2025
Last updated in NPPESAugust 29, 2025
Certification dateAugust 29, 2025
Mailing address8030 Old Cedar Ave S Ste 121, Bloomington, MN 55425-1214

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