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GRACEFUL HOMES LLC
NPI 1710829841
Assisted Living Facility in Shakopee, MN

Active since April 07, 2026CLIA 24D2344204 · Waiver
1742 CASPIAN LN, SHAKOPEE, MN 55379(612) 220-1130 Get Directions Write a Review

NPPES record last updated: April 7, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Graceful Homes Llc NPPES

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

GRACEFUL HOMES LLC (NPI 1710829841) is a healthcare organization registered as an assisted living facility in Shakopee, Minnesota and active in the NPI registry since April 2026. The organization holds a CLIA Waiver certificate valid through May 18, 2028 and lists Mercy Gitau, Owner/operator, as its authorized official.

NPPES Registry Identity

NPI1710829841
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameGRACEFUL HOMES LLC
Location Address1742 CASPIAN LNShakopee, MN 55379-4640
Mailing Address1742 Caspian LnShakopee, MN 55379-4640 · (612) 220-1130
Phone(612) 220-1130
Organization SubpartNo
Authorized OfficialMercy GitauOwner/operator · (612) 220-1130
Enumeration DateApril 7, 2026
NPPES CertifiedApril 7, 2026
✔ NPI 1710829841 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
1742 CASPIAN LN, Shakopee, MN 55379
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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 24D2344204

Graceful Homes LLC · Shakopee, MN
Active · expires May 18, 2028
CLIA Number24D2344204
Laboratory TypeAssisted Living Facility
Certificate Effective DateMay 19, 2026
Certificate Expiration DateMay 18, 2028
Laboratory DirectorMercy Gitau
Laboratory Phone(612) 220-1130
Laboratory LocationGraceful Homes LLC1742 Caspian Lane, Shakopee, MN 55379
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Graceful Homes LLC's NPI number?

The NPI number for Graceful Homes LLC is 1710829841. It was assigned to this organization in the NPPES registry on April 7, 2026.

Where is Graceful Homes LLC located?

Graceful Homes LLC is located at 1742 Caspian Ln, Shakopee, MN 55379. The listed phone number is (612) 220-1130.

What is Graceful Homes LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Does Graceful Homes LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 24D2344204) is associated with this NPI, valid through May 18, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Graceful Homes LLC was last updated on April 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.