OAK GROVE CARE CENTER, INC.
NPI 1215122320
Assisted Living Facility - Assisted Living, Mental Illness in Minneapolis, MN

Q: What is Oak Grove Care Center, Inc.'s NPI number?

The NPI number for Oak Grove Care Center, Inc. is 1215122320. It was assigned to this organization in the NPPES registry on September 11, 2007.

Q: What is Oak Grove Care Center, Inc.'s specialty?

The primary specialty registered for this NPI is Assisted Living Facility, specializing in Assisted Living, Mental Illness, with taxonomy code 3104A0625X.

Active since September 11, 2007CLIA 24D2097709 · Waiver

1822 PARK AVE, MINNEAPOLIS, MN 55404(612) 871-5800(612) 872-6815 Get Directions Write a Review

NPPES record last updated: July 19, 2024. Verified against the NPPES registry weekly; last sync: September 06, 2026.

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About Oak Grove Care Center, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OAK GROVE CARE CENTER, INC. (NPI 1215122320) is a healthcare organization registered as an assisted living, mental illness in Minneapolis, Minnesota and active in the NPI registry since September 2007. The organization holds a CLIA Waiver certificate valid through June 22, 2027 and lists Sara Anne Williams, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1215122320

Entity TypeOrganization

Primary Taxonomy3104A0625X

Legal Business NameOAK GROVE CARE CENTER, INC.

Location Address1822 PARK AVEMinneapolis, MN 55404-1965

Mailing Address1822 Park AveMinneapolis, MN 55404-1965 · (612) 871-5800 · Fax (612) 872-6815

Phone(612) 871-5800

Fax(612) 872-6815

Organization SubpartNo

Authorized OfficialSara Anne WilliamsExecutive Director · (612) 871-5800

Enumeration DateSeptember 11, 2007

Last NPPES UpdateJuly 19, 2024

NPPES CertifiedJuly 19, 2024

✔ NPI 1215122320 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living Facility · Assisted Living, Mental IllnessNursing & Custodial Care Facilities

Taxonomy Code3104A0625X

License✔ Licensed in MN · R0803171

Definition

A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies.

1822 PARK AVE, Minneapolis, MN 55404

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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 24D2097709

Oak Grove Care Center, Inc · Minneapolis, MN

Active · expires Jun 22, 2027

CLIA Number24D2097709

Laboratory TypeCustomized Living

Certificate Effective DateJune 23, 2025

Certificate Expiration DateJune 22, 2027

Laboratory DirectorSara A. Williams

Laboratory Phone(612) 871-5800

Laboratory LocationOak Grove Care Center, Inc1822 Park Ave S, Minneapolis, MN 55404

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Oak Grove Care Center, Inc.'s NPI number?

The NPI number for Oak Grove Care Center, Inc. is 1215122320. It was assigned to this organization in the NPPES registry on September 11, 2007.

Where is Oak Grove Care Center, Inc. located?

Oak Grove Care Center, Inc. is located at 1822 Park Ave, Minneapolis, MN 55404. The listed phone number is (612) 871-5800.

What is Oak Grove Care Center, Inc.'s specialty?

The primary specialty registered for this NPI is Assisted Living Facility, specializing in Assisted Living, Mental Illness, with taxonomy code 3104A0625X.

Does Oak Grove Care Center, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 24D2097709) is associated with this NPI, valid through June 22, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Oak Grove Care Center, Inc. was last updated on July 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.