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

Great Lake Care LLC

Organization Community/Behavioral Health Agency · NPI 1356951255

Great Lake Care LLC is a Community/Behavioral Health Agency in Golden Valley, Minnesota. Registered with an NPI since 2020.

In the registry since
2020
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

1710 Douglas Dr N Ste 224E
Golden Valley, MN 55422-4350
Phone: (763) 221-2102
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Behavioral Health Agency (primary) Taxonomy 251S00000X

Record details

NPI number1356951255
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ifrah Elmi — Ceo · (763) 221-2102
NPI enumeratedAugust 5, 2020
Last updated in NPPESAugust 5, 2020
Certification dateAugust 5, 2020
Mailing address7549 Emerson Ave N, Brooklyn Park, MN 55444-2539

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