OrganizationActive
Gracehaven Home Care LLC
NPI 1790664134 · Home Health Agency · Bloomington, MN
Gracehaven Home Care LLC is a Home Health Agency organization in Bloomington, MN (NPI 1790664134).
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
1 yr 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
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
Frequently asked questions
- What is Gracehaven Home Care LLC's NPI number?
- Gracehaven Home Care LLC's National Provider Identifier (NPI) is 1790664134, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Gracehaven Home Care LLC?
- Gracehaven Home Care LLC is classified in the NPPES registry as Home Health Agency (Agencies).
- Where is Gracehaven Home Care LLC located?
- Gracehaven Home Care LLC's practice location on file with NPPES is 8030 Old Cedar Ave S Ste 121, Bloomington, MN 55425-1214.
- What is Gracehaven Home Care LLC's phone number?
- The practice phone number listed in the NPPES registry for Gracehaven Home Care LLC is (612) 804-7865.
- Who is the authorized official for Gracehaven Home Care LLC?
- The authorized official listed on Gracehaven Home Care LLC's NPPES record is Mohamed Mohamed, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Gracehaven Home Care LLC's NPI active?
- Yes — Gracehaven Home Care LLC's NPI (1790664134) is active in the NPPES registry as of the last update on 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.