OrganizationActive
Grace Haven Sober Living LLC
NPI 1356231765 · Lodging Provider · Saint Paul, MN
Grace Haven Sober Living LLC is a Lodging Provider organization in Saint Paul, MN (NPI 1356231765).
Provider details
- NPI number
- 1356231765
- Entity type
- Organization
- Primary specialty
- Lodging ProviderOther Service Providers
- Organization subpart
- No
- Authorized official
- Peg Kinda, Contractor(612) 306-8499
Specialties & taxonomies
Other Service Providers
Profile Score
Established profile(54/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1940 Reaney Ave E
Saint Paul, MN 55119-3917
Phone: (763) 415-6301
Street-level locationGet directions
Mailing address
1772 Ponderosa Ln
New Richmond, WI 54017-6626
Registry dates
- Enumerated
- 2025-07-07
- Last updated
- 2025-07-07
- Certified
- 2025-07-07
Frequently asked questions
- What is Grace Haven Sober Living LLC's NPI number?
- Grace Haven Sober Living LLC's National Provider Identifier (NPI) is 1356231765, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Grace Haven Sober Living LLC?
- Grace Haven Sober Living LLC is classified in the NPPES registry as Lodging Provider (Other Service Providers).
- Where is Grace Haven Sober Living LLC located?
- Grace Haven Sober Living LLC's practice location on file with NPPES is 1940 Reaney Ave E, Saint Paul, MN 55119-3917.
- What is Grace Haven Sober Living LLC's phone number?
- The practice phone number listed in the NPPES registry for Grace Haven Sober Living LLC is (763) 415-6301.
- Who is the authorized official for Grace Haven Sober Living LLC?
- The authorized official listed on Grace Haven Sober Living LLC's NPPES record is Peg Kinda, Contractor. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Grace Haven Sober Living LLC's NPI active?
- Yes — Grace Haven Sober Living LLC's NPI (1356231765) is active in the NPPES registry as of the last update on 2025-07-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.