Grace Assisted Living Llc
Assisted Living Facility
2566 112th Ave Nw, Coon Rapids
Minnesota, 55433-3562
612-227-4036 Grace Assisted Living Llc is a Assisted Living Facility in Coon Rapids, Minnesota. It is located at 2566 112th Ave Nw, Coon Rapids and it's customer support contact number is 612-227-4036. The authorized person of Grace Assisted Living Llc is Kefyalew F Amante who is Owner of this DME and his contact number is 612-227-4036.
Grace Assisted Living Llc is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
DME Supplier Details:
Grace Assisted Living Llc type, location, contact phone number and fax are as below. Patients can directly walkin or can call on the below given customer support phone number for enquiries.
| Name: | Grace Assisted Living Llc |
| Type: | Assisted Living Facility |
| Location: | 2566 112th Ave Nw, Coon Rapids,
Minnesota, 55433-3562 |
| Phone: | 612-227-4036 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this supplier is as below. Person's position and contact details are also mentioned below.
| Name: | Kefyalew F Amante |
| Position: | Owner |
| Contact Number: | 612-227-4036 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given supplier are as mentioned below.
| NPI Number: | 1952947269 |
| NPI Enumeration Date: | 21 Nov, 2019 |
| NPI Last Update On: | 13 Feb, 2020 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Grace Assisted Living Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| Assisted Living Facility | | | Primary | |
| Home Health | | | Secondary | |
| Nursing Care | | | Secondary | |
| Durable Medical Equipment & Medical Supplies | | | Secondary | |
| Non-emergency Medical Transport (van) | | | Secondary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 2566 112th Ave Nw,
Coon Rapids, Minnesota |
| Zip: | 55433-3562 |
| Phone Number: | 612-227-4036 |
Patients can reach Grace Assisted Living Llc at
2566 112th Ave Nw, Coon Rapids, Minnesota or can
call on customer care at 612-227-4036.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 February, 2026.