Grand Avenue Residence

LBN: Grand Avenue Rest Home Inc
Grand Avenue Residence is an health care organization with primary practice located at 3956 Grand Ave S , Minneapolis MN 55409-1535. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Intermediate Care Facility, Mental Illness, which is considered as the primary health care specialty. Grand Avenue Rest Home Inc can be contacted via phone (612) 824-1434, or through Soderbeck, Nancy Lynn via phone (612) 824-1434.

Contact Information

Primary practice address
3956 Grand Ave S Minneapolis MN 55409-1535
Phone: (612) 824-1434
Fax: (612) 824-2219
Website:
Map and Directions
Authorized official contact:
Name: Soderbeck, Nancy Lynn
Phone: (612) 824-1434

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Intermediate Care Facility, Mental Illness 310500000X Minnesota

Profile Details

NPI number 1932196235
LBN Legal business name Grand Avenue Rest Home Inc
DBA Doing business as Grand Avenue Residence
Authorized official Soderbeck, Nancy Lynn
Entity Organization
Organization subpart 1 No
Enumeration date Oct 1st, 2005
Last updated Aug 22nd, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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