GRACE GROUP HOME LLC
NPI 1033778121
Assisted Living Facility in Minneapolis, MN
About Grace Group Home Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GRACE GROUP HOME LLC (NPI 1033778121) is a healthcare organization registered as an assisted living facility in Minneapolis, Minnesota and active in the NPI registry since June 2019. The organization holds a CLIA Waiver certificate valid through December 18, 2027 and lists Asia Ahmed Ali, Owner/manager, as its authorized official.Information from the official NPPES registry record.
NPPES Registry Identity
Specialties & Licenses 5
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
Other Identifiers 1
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 24D2176630
- Facility Type
- Home Health Agency
- Certificate Effective Date
- December 19, 2025
- Certificate Expiration Date
- December 18, 2027
- Laboratory Director
- HASSAN H. HAYDAR
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Grace Group Home Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1033778121, enumerated as an "organization" on June 11, 2019.
The provider is located at 3538 FREMONT AVE N MINNEAPOLIS, MN 55412 and the phone number is (612) 598-9923.
Assisted Living Facility with taxonomy code 310400000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
