Grand Avenue Rest Home Inc
NPI 1932196235ActiveOrganization· Intermediate Care Facility, Mental Illness· Minneapolis, MN
Intermediate Care Facility, Mental Illness in Minneapolis, Minnesota, registered in NPPES in October 2005. The authorized official on file is Nancy Lynn Soderbeck, Acting Administrator.
Overview
| NPI | 1932196235 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 1, 2005 |
| Last updated in NPPES | Aug 22, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Intermediate Care Facility, Mental Illness Primary | 310500000X | — | MN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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