1. Home
  2. Directory
  3. Minnesota
  4. Blaine
  5. Nursing Facility Intermediate Care Facility
  6. NPI Profile

FAMILY CARE AT HOME
NPI 1407684285
Nursing Facility/Intermediate Care Facility in Blaine, MN

Active since July 23, 2024
4334 122ND CIR NE, BLAINE, MN 55449(615) 668-0500 Get Directions Write a Review

NPPES record last updated: July 23, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Family Care At Home NPPES

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

FAMILY CARE AT HOME (NPI 1407684285) is a healthcare organization registered as a nursing facility/intermediate care facility in Blaine, Minnesota and active in the NPI registry since July 2024. The organization lists Clovis Gray, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1407684285
Entity TypeOrganization
Primary Taxonomy313M00000X
Legal Business NameFAMILY CARE AT HOME
Location Address4334 122ND CIR NEBlaine, MN 55449-2103
Mailing Address4334 122nd Cir NeBlaine, MN 55449-2103 · (615) 668-0500
Phone(615) 668-0500
Organization SubpartNo
Authorized OfficialClovis GrayExecutive Director · (615) 668-0500
Enumeration DateJuly 23, 2024
NPPES CertifiedJuly 23, 2024
✔ NPI 1407684285 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNursing Facility/Intermediate Care FacilityNursing & Custodial Care Facilities
Taxonomy Code313M00000X
Definition
An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.
4334 122ND CIR NE, Blaine, MN 55449
Open in Google Maps ↗

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 Family Care At Home's NPI number?

The NPI number for Family Care At Home is 1407684285. It was assigned to this organization in the NPPES registry on July 23, 2024.

Where is Family Care At Home located?

Family Care At Home is located at 4334 122nd Cir NE, Blaine, MN 55449. The listed phone number is (615) 668-0500.

What is Family Care At Home's specialty?

The primary specialty registered for this NPI is Nursing Facility/Intermediate Care Facility with taxonomy code 313M00000X.

When was this NPI record last updated?

The NPPES record for Family Care At Home was last updated on July 23, 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.