GREATHOMEMN
NPI 1255625737
Assisted Living Facility in Inver Grove Heights, MN

Active since June 02, 2011CLIA 24D2274072 · Waiver
8668 A;LVARADO COURT, INVER GROVE HEIGHTS, MN 55077(651) 983-2005 Get Directions Write a Review

NPPES record last updated: June 2, 2011. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Greathomemn NPPES

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

GREATHOMEMN (NPI 1255625737) is a healthcare organization registered as an assisted living facility in Inver Grove Heights, Minnesota and active in the NPI registry since June 2011. The organization holds a CLIA Waiver certificate valid through December 22, 2026 and lists Graciela Agne Aviles, Rn, as its authorized official.

NPPES Registry Identity

NPI1255625737
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameGREATHOMEMN
Location Address8668 A;LVARADO COURTInver Grove Heights, MN 55077
Mailing Address8668 A;lvarado CourtInver Grove Heights, MN 55077 · (651) 983-2005
Organization SubpartNo
Authorized OfficialGraciela Agne AvilesRn · (651) 983-2005
Enumeration DateJune 2, 2011
NPI 1255625737 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
License Licensed in MN · 1057918-1-AFC
Definition
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.
8668 A;LVARADO COURT, Inver Grove Heights, MN 55077

Other Identifiers 1

Other4661MN · Great Home Mn

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 24D2274072

Great Home Minnesota · Inver Grove Heights, MN
Active · expires Dec 22, 2026
CLIA Number24D2274072
Laboratory TypeAssisted Living Facility
Certificate Effective DateDecember 23, 2024
Certificate Expiration DateDecember 22, 2026
Laboratory DirectorGraciela A. Aviles
Laboratory Phone(651) 983-2005
Laboratory LocationGreat Home Minnesota8811 Aviary Path, Inver Grove Heights, MN 55077
CLIA data matches this NPI record on: 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 Greathomemn's NPI number?

The NPI number for Greathomemn is 1255625737. It was assigned to this organization in the NPPES registry on June 2, 2011.

Where is Greathomemn located?

Greathomemn is located at 8668 A;lvarado Court, Inver Grove Heights, MN 55077. The listed phone number is (651) 983-2005.

What is Greathomemn's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Does Greathomemn hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 24D2274072) is associated with this NPI, valid through December 22, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Greathomemn was last updated on June 2, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.