Healthcare Provider Details
I. General information
NPI: 1457215600
Provider Name (Legal Business Name): GRACE POINT SUPPORTIVE LIVING, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/12/2025
Last Update Date: 12/12/2025
Certification Date: 12/12/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3003 32ND AVE S STE 240
FARGO ND
58103-6118
US
IV. Provider business mailing address
1832 ASSUMPTION DR
BISMARCK ND
58501-1503
US
V. Phone/Fax
- Phone: 701-401-4414
- Fax:
- Phone: 701-401-4414
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 253Z00000X |
| Taxonomy | In Home Supportive Care Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ANGELAURE
SCHYMA
Title or Position: CHIEF EXECUTIVE OFFICER
Credential: RN
Phone: 701-401-4414