OrganizationActive
Great Lake Care LLC
NPI 1356951255 · Community/Behavioral Health Agency · Golden Valley, MN
Great Lake Care LLC is a Community/Behavioral Health Agency organization in Golden Valley, MN (NPI 1356951255).
Provider details
- NPI number
- 1356951255
- Entity type
- Organization
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Ifrah Elmi, Ceo(763) 221-2102
Specialties & taxonomies
Agencies
Profile Score
Established profile(64/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES 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
1710 Douglas Dr N Ste 224e
Golden Valley, MN 55422-4350
Phone: (763) 221-2102
Street-level locationGet directions
Mailing address
7549 Emerson Ave N
Brooklyn Park, MN 55444-2539
Registry dates
- Enumerated
- 2020-08-05
- Last updated
- 2020-08-05
- Certified
- 2020-08-05
Frequently asked questions
- What is Great Lake Care LLC's NPI number?
- Great Lake Care LLC's National Provider Identifier (NPI) is 1356951255, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Great Lake Care LLC?
- Great Lake Care LLC is classified in the NPPES registry as Community/Behavioral Health Agency (Agencies).
- Where is Great Lake Care LLC located?
- Great Lake Care LLC's practice location on file with NPPES is 1710 Douglas Dr N Ste 224e, Golden Valley, MN 55422-4350.
- What is Great Lake Care LLC's phone number?
- The practice phone number listed in the NPPES registry for Great Lake Care LLC is (763) 221-2102.
- Who is the authorized official for Great Lake Care LLC?
- The authorized official listed on Great Lake Care LLC's NPPES record is Ifrah Elmi, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Great Lake Care LLC's NPI active?
- Yes — Great Lake Care LLC's NPI (1356951255) is active in the NPPES registry as of the last update on 2020-08-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.