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AMERIGRACE HOME CARE LLC
NPI 1558832105
Home Health in Cottage Grove, MN

Active since December 07, 2018CLIA Certified · 4 labs
9633 HALE AVE S, COTTAGE GROVE, MN 55016(651) 734-3183 Get Directions Write a Review

NPPES record last updated: December 7, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Amerigrace Home Care Llc NPPES

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

AMERIGRACE HOME CARE LLC (NPI 1558832105) is a healthcare organization registered as a home health in Cottage Grove, Minnesota and active in the NPI registry since December 2018. The organization holds 4 active CLIA laboratory certificates and lists Grace Oghenekaro Oyefesobi, Ceo, as its authorized official.

NPPES Registry Identity

NPI1558832105
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NameAMERIGRACE HOME CARE LLC
Location Address9633 HALE AVE SCottage Grove, MN 55016-3894
Mailing Address9633 Hale Ave SCottage Grove, MN 55016-3894 · (651) 734-3183
Phone(651) 734-3183
Organization SubpartNo
Authorized OfficialGrace Oghenekaro OyefesobiCeo · (651) 734-3183
Enumeration DateDecember 7, 2018
✔ NPI 1558832105 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.
9633 HALE AVE S, Cottage Grove, MN 55016
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CLIA Laboratory Certificates CMS CLIA 4

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 24D2167893

Amerigrace Home Care LLC · Cottage Grove, MN
Active · expires Jun 17, 2027
CLIA Number24D2167893
Laboratory TypeAssisted Living Facility
Certificate Effective DateJune 18, 2025
Certificate Expiration DateJune 17, 2027
Laboratory DirectorGrace O. Oyefesobi
Laboratory Phone(651) 734-3183
Laboratory LocationAmerigrace Home Care LLC9633 Hale Avenue South, Cottage Grove, MN 55016
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 24D2322480

Amerigrace Home Care LLC · Inver Grove Heights, MN
Active · expires Apr 21, 2027
CLIA Number24D2322480
Laboratory TypeAssisted Living Facility
Certificate Effective DateApril 22, 2025
Certificate Expiration DateApril 21, 2027
Laboratory DirectorGrace O. Oyefesobi
Laboratory Phone(651) 734-3183
Laboratory LocationAmerigrace Home Care LLC9254 Cheney Trail, Inver Grove Heights, MN 55076
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 24D2216902

Amerigrace Home Care LLC · Saint Paul, MN
Active · expires Mar 16, 2027
CLIA Number24D2216902
Laboratory TypeAssisted Living Facility
Certificate Effective DateMarch 17, 2025
Certificate Expiration DateMarch 16, 2027
Laboratory DirectorGrace O. Oyefesobi
Laboratory Phone(651) 734-3183
Laboratory LocationAmerigrace Home Care LLC1853 Ames Avenue, Saint Paul, MN 55119
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 24D2216905

Amerigrace Home Care LLC · Saint Paul, MN
Active · expires Mar 16, 2027
CLIA Number24D2216905
Laboratory TypeAssisted Living Facility
Certificate Effective DateMarch 17, 2025
Certificate Expiration DateMarch 16, 2027
Laboratory DirectorGrace O. Oyefesobi
Laboratory Phone(651) 734-3183
Laboratory LocationAmerigrace Home Care LLC890 Clarence Street, Saint Paul, MN 55106
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

INTEGRITY HOMECARE SERVICES, INC
Home Health
9633 HALE AVE S
COTTAGE GROVE, MN 55016
Washington County (651) 769-0114

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 Amerigrace Home Care LLC's NPI number?

The NPI number for Amerigrace Home Care LLC is 1558832105. It was assigned to this organization in the NPPES registry on December 7, 2018.

Where is Amerigrace Home Care LLC located?

Amerigrace Home Care LLC is located at 9633 Hale Ave S, Cottage Grove, MN 55016. The listed phone number is (651) 734-3183.

What is Amerigrace Home Care LLC's specialty?

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

Does Amerigrace Home Care LLC hold CLIA laboratory certificates?

Yes. 4 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Amerigrace Home Care LLC was last updated on December 7, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.