MEDICARE: GRANDVIEW WEST INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	310400000X	Assisted Living Facility	20709	MN

General Provider Information

NPI Number	:	1144257114
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GRANDVIEW WEST INC.

Provider Business Mailing Address
First Line	:	2845 HAMLINE AVE N
Second Line	:
City	:	ROSEVILLE
State	:	MN
Zip	:	55113-7127
Country	:	US
Telephone Number	:	651-631-6432
Fax Number	:	651-631-6122

Provider Business Practice Location Address
First Line	:	1545 RIVER HILLS PKWY NW
Second Line	:
City	:	CAMBRIDGE
State	:	MN
Zip	:	55008-3738
Country	:	US
Telephone Number	:	763-689-1474
Fax Number	:

Authorized Official
Title or Position	:	AR DIRECTOR
Name	:	JON TRANBY
Credential	:
Telephone Number	:	651-631-6102

Provider Enumeration Date	:	06/27/2006
Last Update Date	:	11/11/2025

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Directions to “GRANDVIEW WEST INC. ” Practice Location

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