Grand Avenue Rest Home Inc
NPI 1932196235 · Mental Illness Intermediate Care Facility · Minneapolis, MN
Grand Avenue Rest Home Inc is a Mental Illness Intermediate Care Facility organization in Minneapolis, MN (NPI 1932196235).
Provider details
- NPI number
- 1932196235
- Entity type
- Organization
- Primary specialty
- Mental Illness Intermediate Care FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Nancy Soderbeck, Acting Administrator(612) 824-1434
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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 Avenue Residence
Registry dates
- Enumerated
- 2005-10-01
- Last updated
- 2020-08-22
Frequently asked questions
- What is Grand Avenue Rest Home Inc's NPI number?
- Grand Avenue Rest Home Inc's National Provider Identifier (NPI) is 1932196235, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Grand Avenue Rest Home Inc?
- Grand Avenue Rest Home Inc is classified in the NPPES registry as Mental Illness Intermediate Care Facility (Nursing & Custodial Care Facilities).
- Where is Grand Avenue Rest Home Inc located?
- Grand Avenue Rest Home Inc's practice location on file with NPPES is 3956 Grand Ave S, Minneapolis, MN 55409-1535.
- What is Grand Avenue Rest Home Inc's phone number?
- The practice phone number listed in the NPPES registry for Grand Avenue Rest Home Inc is (612) 824-1434.
- Who is the authorized official for Grand Avenue Rest Home Inc?
- The authorized official listed on Grand Avenue Rest Home Inc's NPPES record is Nancy Soderbeck, Acting Administrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Grand Avenue Rest Home Inc's NPI active?
- Yes — Grand Avenue Rest Home Inc's NPI (1932196235) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.