OrganizationActive
Gracenest Homes
NPI 1932961422 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Minneapolis, MN
Provider details
- NPI number
- 1932961422
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Ayub Sharif, President(612) 254-4949
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000X
Residential Treatment Facilities
Practice location
2536 28th Ave S
Minneapolis, MN 55406-1312
Phone: (612) 254-4949
Approximate (ZIP-level) locationGet directions
Mailing address
2536 28th Ave S
Minneapolis, MN 55406-1312
Registry dates
- Enumerated
- 2024-01-29
- Last updated
- 2024-01-29
- Certified
- 2024-01-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.