OrganizationActive
Graceful Lodge, LLC
NPI 1629616289 · Home Health Agency · Brooklyn Center, MN
Graceful Lodge, LLC is a Home Health Agency organization in Brooklyn Center, MN (NPI 1629616289).
Provider details
- NPI number
- 1629616289
- Entity type
- Organization
- Primary specialty
- Home Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Daniel Brewer, Administrator(763) 496-9056
Specialties & taxonomies
Agencies
Profile Score
Established profile(65/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 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
6430 June Ave N
Brooklyn Center, MN 55429-2127
Phone: (763) 496-9056
Street-level locationGet directions
Mailing address
3300 County Road 10 Ste 320f
Brooklyn Center, MN 55429-3072
Other names (DBA / former)
- Doing business as
- Graceful Lodge Home Care
Registry dates
- Enumerated
- 2019-12-13
- Last updated
- 2019-12-15
- Certified
- 2019-12-15
Frequently asked questions
- What is Graceful Lodge, LLC's NPI number?
- Graceful Lodge, LLC's National Provider Identifier (NPI) is 1629616289, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Graceful Lodge, LLC?
- Graceful Lodge, LLC is classified in the NPPES registry as Home Health Agency (Agencies).
- Where is Graceful Lodge, LLC located?
- Graceful Lodge, LLC's practice location on file with NPPES is 6430 June Ave N, Brooklyn Center, MN 55429-2127.
- What is Graceful Lodge, LLC's phone number?
- The practice phone number listed in the NPPES registry for Graceful Lodge, LLC is (763) 496-9056.
- Who is the authorized official for Graceful Lodge, LLC?
- The authorized official listed on Graceful Lodge, LLC's NPPES record is Daniel Brewer, Administrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Graceful Lodge, LLC's NPI active?
- Yes — Graceful Lodge, LLC's NPI (1629616289) is active in the NPPES registry as of the last update on 2019-12-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.