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

Grand Avenue Rest Home Inc

Organization Mental Illness Intermediate Care Facility · NPI 1932196235

Grand Avenue Rest Home Inc is a Mental Illness Intermediate Care Facility in Minneapolis, Minnesota. Medicare rates this nursing home 3 out of 5. Licensed in Minnesota.

CMS rating
3 of 5
Licensed in
MN
In the registry since
2005
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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CMS quality rating

3 out of 5 — official nursing home rating from CMS Care Compare (CCN 24E150)
Health inspection2.0 / 5
Staffing5.0 / 5
Quality measures4.0 / 5
OwnershipFor profit - Corporation

Practice location Address checks out

3956 Grand Ave S
Minneapolis, MN 55409-1535
Phone: (612) 824-1434
Fax: (612) 824-2219
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Illness Intermediate Care Facility (primary) Taxonomy 310500000X (MN)

Record details

NPI number1932196235
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Nancy Soderbeck — Acting Administrator · (612) 824-1434
Other names Grand Avenue Residence
NPI enumeratedOctober 1, 2005
Last updated in NPPESAugust 22, 2020
Mailing address3956 Grand Ave S, Minneapolis, MN 55409-1535

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