Grand Avenue Rest Home Inc in Minneapolis - Intermediate Care Facility, Mental Illness
Grand Avenue Rest Home Inc - NPI 1932196235
Grand Avenue Rest Home Inc is a Intermediate Care Facility, Mental Illness in Minneapolis, Minnesota. Grand Avenue Rest Home Inc practices all healthcare services and medical treatments related to Intermediate Care Facility, Mental Illness. The NPI Number for Grand Avenue Rest Home Inc is 1932196235. The last update date is 2020-08-22.
Grand Avenue Rest Home Inc's current location address is 3956 Grand Ave S, Minneapolis, Minnesota. You can contact this provider via phone number 6128241434 and fax number 6128242219. The mailing address for Grand Avenue Rest Home Inc is 3956 Grand Ave S, Minneapolis, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Grand Avenue Rest Home Inc |
|---|---|
| Address | 3956 Grand Ave S, Minneapolis, Minnesota |
| Phone Number | 6128241434 |
| Fax Number | 6128242219 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | ACTING ADM |
|---|---|
| Authorized Official Name | Soderbeck Lynn Nancy |
| Telephone Number | 6128241434 |
NPI Number Detail
| NPI Number | 1932196235 |
|---|---|
| Provider Enumeration Date | 2005-10-01 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 3956 Grand Ave S |
|---|---|
| City | Minneapolis |
| State | Minnesota (MN) |
| Post Code | 554091535 |
| Phone Number | 6128241434 |
| Fax Number | 6128242219 |
Provider's Primary Taxonomy Detail
| Speciality | Intermediate Care Facility, Mental Illness |
|---|---|
| Taxonomy | 310500000X |
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Definition: A nursing facility that provides an intermediate level of nursing care to individuals whose functional abilities are significantly compromise by mental illness. |
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What is the unique 10-digit identifier code issued to Grand Avenue Rest Home Inc by the Centers for Medicare & Medicaid Services?
The Grand Avenue Rest Home Inc has been assigned the NPI (National Provider Identifier) 1932196235 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Grand Avenue Rest Home Inc's facilities are geographically located?
The facilities of Grand Avenue Rest Home Inc are physically situated at the following location: 3956 Grand Ave S, Minneapolis, MN, 554091535.
What is Grand Avenue Rest Home Inc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Grand Avenue Rest Home Inc is Intermediate Care Facility, Mental Illness, and the corresponding taxonomy classification code for this specialized field is 310500000X.
When did Grand Avenue Rest Home Inc receive its 1932196235 assignment?
The Grand Avenue Rest Home Inc was assigned its 1932196235 on 2005-10-01, which is the date when this unique identifier was issued to the organization.
As of what date were the Grand Avenue Rest Home Inc's details last updated?
The information pertaining to the Grand Avenue Rest Home Inc, including its address, specialty, and other details, was most recently updated on 2020-08-22.
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