Grand Itasca Clinic and Hospital
NPI 1558435131 · Home Health Agency · Grand Rapids, MN
Enrolled with Medicare as Part a Provider - Home Health Agency · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Grand Itasca Clinic and Hospital is a Home Health Agency organization in Grand Rapids, MN (NPI 1558435131).
Provider details
- NPI number
- 1558435131
- Entity type
- Organization
- Primary specialty
- Home Health AgencyAgencies
- Parent organization
- Grand Itasca Clinic and Hospital
- Organization subpart
- Yes
- Authorized official
- Jean Macdonell, Coo(218) 999-1510
Specialties & taxonomies
Agencies
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
Mailing address
Other names (DBA / former)
- Other name
- Grand Itasca Home Care
Registry dates
- Enumerated
- 2006-11-17
- Last updated
- 2025-07-23
- Certified
- 2025-07-23
Frequently asked questions
- What is Grand Itasca Clinic and Hospital's NPI number?
- Grand Itasca Clinic and Hospital's National Provider Identifier (NPI) is 1558435131, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Grand Itasca Clinic and Hospital?
- Grand Itasca Clinic and Hospital is classified in the NPPES registry as Home Health Agency (Agencies).
- Where is Grand Itasca Clinic and Hospital located?
- Grand Itasca Clinic and Hospital's practice location on file with NPPES is 111 Se 3rd St, Grand Rapids, MN 55744-3663.
- What is Grand Itasca Clinic and Hospital's phone number?
- The practice phone number listed in the NPPES registry for Grand Itasca Clinic and Hospital is (218) 999-1055.
- Does Grand Itasca Clinic and Hospital accept Medicare?
- Grand Itasca Clinic and Hospital is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Grand Itasca Clinic and Hospital?
- The authorized official listed on Grand Itasca Clinic and Hospital's NPPES record is Jean Macdonell, Coo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Grand Itasca Clinic and Hospital's NPI active?
- Yes — Grand Itasca Clinic and Hospital's NPI (1558435131) is active in the NPPES registry as of the last update on 2025-07-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.