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GRAND ITASCA CLINIC AND HOSPITAL
NPI 1558435131
Home Health in Grand Rapids, MN

Active since November 17, 2006CLIA 24D1092565 · Waiver
2/5
Patient Care Rating
111 SE 3RD ST, GRAND RAPIDS, MN 55744(218) 999-1055(218) 999-1052 Get Directions Write a Review

NPPES record last updated: July 23, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 18, 2025, Feb 14, 2025, Sep 18, 2017 (3 updates tracked since 2017).

About Grand Itasca Clinic And Hospital NPPES

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

GRAND ITASCA CLINIC AND HOSPITAL (NPI 1558435131) is a healthcare organization registered as a home health in Grand Rapids, Minnesota and active in the NPI registry since November 2006. The organization holds a CLIA Waiver certificate valid through November 25, 2026 and lists Jean Macdonell, Coo, as its authorized official.

NPPES Registry Identity

NPI1558435131
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NameGRAND ITASCA CLINIC AND HOSPITAL
Location Address111 SE 3RD STGrand Rapids, MN 55744-3663
Mailing Address1601 Golf Course RdGrand Rapids, MN 55744-8648 · (218) 999-1055 · Fax (218) 999-1052
Phone(218) 999-1055
Fax(218) 999-1052
Organization SubpartYes
Authorized OfficialJean MacdonellCoo · (218) 999-1510
Enumeration DateNovember 17, 2006
Last NPPES UpdateJuly 23, 20253 updates tracked since enumeration
NPPES CertifiedJuly 23, 2025
✔ NPI 1558435131 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
111 SE 3RD ST, Grand Rapids, MN 55744
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Other Names 1

Other NameGrand Itasca Home Care

Other Identifiers 7

Other247286MN · Humana Gold Choice
Other247286MN · Imcare Classics
Other5B36AITMN · Bcbs
Medicaid885525100MN
Other247286MN · Unicare
Other59-00055MN · Medica
Other885525100MN · Imcare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Sanford Health Plan.Insurance ›

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 24D1092565

Grand Itasca Clinic And Hospital Homecare · Grand Rapids, MN
Active · expires Nov 25, 2026
CLIA Number24D1092565
Laboratory TypeHome Health Agency
Certificate Effective DateNovember 26, 2024
Certificate Expiration DateNovember 25, 2026
Laboratory DirectorJack B. Shelton
Laboratory Phone(218) 999-1055
Laboratory LocationGrand Itasca Clinic And Hospital Homecare1601 Golf Course Road, Grand Rapids, MN 55744
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Home Health Quality Ratings CMS Care Compare

Quality ratings, patient care measures and outcomes for Grand Itasca Clinic & Hospital Hc (CMS certification number 247286), from CMS Care Compare.

Grand Itasca Clinic & Hospital Hc

Home health agency · Grand Rapids, MN
2.5/5 Quality of Patient Care
OwnershipNonProfit
CMS Certification Number247286
Medicare-Certified SinceJuly 30, 1993
Phone(218) 999-4663
Services Offered
Skilled nursing care Physical therapy Occupational therapy Speech-language pathology

Patient Care Measures

Patients whose home health care began in a timely manner
99.6%
Patients who got better at walking or moving around
73.6%
Patients who got better at getting in and out of bed
81.3%
Patients who got better at bathing
73.7%
Patients whose breathing improved
67%
Patients who got better at taking their drugs correctly by mouth
50.7%
Patients checked for a flu shot for the current season
66.1%
Physician-recommended actions on medication issues completed on time
83.3%
Patients with a functional assessment and care plan at admission and discharge
98.6%
Patients experiencing one or more falls with major injury
Lower rates are better for this measure.
1.1%
New or worsened pressure ulcers or injuries (skin integrity)
Lower rates are better for this measure.
0.4%
Measure rates are from the CMS Care Compare home health data. Measures without current CMS data are not shown.

Discharge, Readmission & Medicare Spending

Patients discharged to the community, remaining home without unplanned hospital care
107 of 124 patient episodes · observed rate 86.29%
90.47% Better Than National Rate
Potentially preventable hospital readmissions after discharge
93 patient stays · observed rate 3.23%
Lower rates are better for this measure.
3.74% Same As National Rate
Medicare spending per episode of care, relative to the national average
1.00 = national average per episode of care · based on 167 episodes
1.05
Risk-standardized rates account for differences in patient mix. Comparison labels are assigned by CMS.

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.

KATHERINE SIGFRINIUS CCC-SLP
Speech-Language Pathologist
111 SE 3RD ST
GRAND RAPIDS, MN 55744
Itasca County (218) 999-1566
NORTH CENTRAL CARDIOVASCULAR DIAGNOSTICS, LLC
Clinic/Center
111 SE 3RD ST
GRAND RAPIDS, MN 55744
Itasca County (218) 326-3401

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 Grand Itasca Clinic And Hospital's NPI number?

The NPI number for Grand Itasca Clinic And Hospital is 1558435131. It was assigned to this organization in the NPPES registry on November 17, 2006. The provider is also known as Grand Itasca Home Care.

Where is Grand Itasca Clinic And Hospital located?

Grand Itasca Clinic And Hospital is located at 111 SE 3rd St, Grand Rapids, MN 55744. The listed phone number is (218) 999-1055.

What is Grand Itasca Clinic And Hospital's specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

Does Grand Itasca Clinic And Hospital hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 24D1092565) is associated with this NPI, valid through November 25, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Grand Itasca Clinic And Hospital a Medicare-certified home health agency?

Yes. Grand Itasca Clinic & Hospital Hc is a Medicare-certified home health agency, certified since July 30, 1993.

What quality rating does Grand Itasca Clinic And Hospital have?

CMS rates Grand Itasca Clinic & Hospital Hc 2.5 out of 5 stars for quality of patient care on Care Compare. The full measure detail is in the Home Health Quality Ratings section above.

What insurance does Grand Itasca Clinic And Hospital accept?

Health plans from Sanford Health Plan list Grand Itasca Clinic And Hospital as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Grand Itasca Clinic And Hospital was last updated on July 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.