1. Home
  2. Directory
  3. Minnesota
  4. Golden Valley
  5. Community Behavioral Health
  6. NPI Profile

GREAT LAKE CARE LLC
NPI 1356951255
Community/Behavioral Health in Golden Valley, MN

Active since August 05, 2020
1710 DOUGLAS DR N STE 224E, GOLDEN VALLEY, MN 55422(763) 221-2102 Get Directions Write a Review

NPPES record last updated: August 5, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Great Lake Care Llc NPPES

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

GREAT LAKE CARE LLC (NPI 1356951255) is a healthcare organization registered as a community/behavioral health in Golden Valley, Minnesota and active in the NPI registry since August 2020. The organization lists Ifrah Elmi, Ceo, as its authorized official.

NPPES Registry Identity

NPI1356951255
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameGREAT LAKE CARE LLC
Location Address1710 DOUGLAS DR N STE 224EGolden Valley, MN 55422-4350
Mailing Address7549 Emerson Ave NBrooklyn Park, MN 55444-2539 · (763) 221-2102
Phone(763) 221-2102
Organization SubpartNo
Authorized OfficialIfrah ElmiCeo · (763) 221-2102
Enumeration DateAugust 5, 2020
NPPES CertifiedAugust 5, 2020
✔ NPI 1356951255 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
1710 DOUGLAS DR N STE 224E, Golden Valley, MN 55422
Open in Google Maps ↗

Other Identifiers 1

Medicaid6931842MN

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BLU CARE SERVICES LLC
Community/Behavioral Health
1710 DOUGLAS DR N STE 224E
GOLDEN VALLEY, MN 55422
Hennepin County (612) 369-5478
AVID INTERPRETING AGENCY
Interpreter
1710 DOUGLAS DR N STE 224E
GOLDEN VALLEY, MN 55422
Hennepin County (763) 442-3467

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 Great Lake Care LLC's NPI number?

The NPI number for Great Lake Care LLC is 1356951255. It was assigned to this organization in the NPPES registry on August 5, 2020.

Where is Great Lake Care LLC located?

Great Lake Care LLC is located at 1710 Douglas Dr N Ste 224E, Golden Valley, MN 55422. The listed phone number is (763) 221-2102.

What is Great Lake Care LLC's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Great Lake Care LLC was last updated on August 5, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.