GREATMOORE HOME CARE AGENCY LLC
NPI 1417757113
In Home Supportive Care in Saint Paul, MN

Q: What is Greatmoore Home Care Agency LLC's NPI number?

The NPI number for Greatmoore Home Care Agency LLC is 1417757113. It was assigned to this organization in the NPPES registry on March 13, 2025.

Q: What is Greatmoore Home Care Agency LLC's specialty?

The primary specialty registered for this NPI is In Home Supportive Care with taxonomy code 253Z00000X.

Active since March 13, 2025

433 RIVOLI DR, SAINT PAUL, MN 55130(612) 231-2572 Get Directions Write a Review

NPPES record last updated: May 12, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 12, 2025, Mar 13, 2025 (2 updates tracked since 2025).

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About Greatmoore Home Care Agency Llc NPPES

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

GREATMOORE HOME CARE AGENCY LLC (NPI 1417757113) is a healthcare organization registered as an in home supportive care in Saint Paul, Minnesota and active in the NPI registry since March 2025. The organization lists Hermine Irene Ada, Owner/president, as its authorized official.

NPPES Registry Identity

NPI1417757113

Entity TypeOrganization

Primary Taxonomy253Z00000X

Legal Business NameGREATMOORE HOME CARE AGENCY LLC

Location Address433 RIVOLI DRSaint Paul, MN 55130-4453

Mailing Address433 Rivoli DrSaint Paul, MN 55130-4453 · (612) 231-2572

Phone(612) 231-2572

Organization SubpartNo

Authorized OfficialHermine Irene AdaOwner/president · (612) 231-2572

Enumeration DateMarch 13, 2025

Last NPPES UpdateMay 12, 20252 updates tracked since enumeration

NPPES CertifiedMay 12, 2025

✔ NPI 1417757113 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyIn Home Supportive CareAgencies

Taxonomy Code253Z00000X

Definition

An In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves.

433 RIVOLI DR, Saint Paul, MN 55130

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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 Greatmoore Home Care Agency LLC's NPI number?

The NPI number for Greatmoore Home Care Agency LLC is 1417757113. It was assigned to this organization in the NPPES registry on March 13, 2025.

Where is Greatmoore Home Care Agency LLC located?

Greatmoore Home Care Agency LLC is located at 433 Rivoli Dr, Saint Paul, MN 55130. The listed phone number is (612) 231-2572.

What is Greatmoore Home Care Agency LLC's specialty?

The primary specialty registered for this NPI is In Home Supportive Care with taxonomy code 253Z00000X.

When was this NPI record last updated?

The NPPES record for Greatmoore Home Care Agency LLC was last updated on May 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.