OrganizationActive
Gracehaven Home Care LLC
NPI 1790664134 · Home Health Agency · Bloomington, MN
Provider details
- NPI number
- 1790664134
- Entity type
- Organization
- Primary specialty
- Home Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Mohamed Mohamed, Owner(612) 772-7319
Specialties & taxonomies
Agencies
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
8030 Old Cedar Ave S Ste 121
Bloomington, MN 55425-1214
Phone: (612) 804-7865
Street-level locationGet directions
Mailing address
8030 Old Cedar Ave S Ste 121
Bloomington, MN 55425-1214
Registry dates
- Enumerated
- 2025-08-29
- Last updated
- 2025-08-29
- Certified
- 2025-08-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.