MEDICARE: GRACE THERAPY CENTER LLC

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	252Y00000X	Early Intervention Provider Agency

General Provider Information

NPI Number	:	1790574812
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GRACE THERAPY CENTER LLC

Provider Business Mailing Address
First Line	:	3712 E LAKE ST APT B
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55406-2173
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3712 E LAKE ST APT B
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55406-2173
Country	:	US
Telephone Number	:	380-249-3727
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	ABDI NUR
Credential	:
Telephone Number	:	380-249-3727

Provider Enumeration Date	:	05/05/2025
Last Update Date	:	05/05/2025

Similar Medicare Providers

1841517836 — FREDERICK ROLAND SCHILLING DDS
Practice Location Address:

250, 2ND. AVE S. , STE 250
MINNEAPOLIS, MN
55401-2173

Practice Phone: 612-338-4122
Practice Fax:

1881160109 — HARMONY HEALTH SERVICES LLC
Practice Location Address:

317 26TH AVE N
MINNEAPOLIS, MN
55411-2173

Practice Phone: 214-436-1801
Practice Fax:

1750874483 — KATHERINE COLLINS LPCC, ATR-BC
Practice Location Address:

2637 27TH AVE S , STUDIOS 247, 248, 249
MINNEAPOLIS, MN
55406

Practice Phone: 612-216-8606
Practice Fax:

1518815612 — BIRGIT E LARSON M.S.S.W., L.I.S.W.
Practice Location Address:

3100 E 28TH ST
MINNEAPOLIS, MN
55406-1601

Practice Phone: 612-668-5000
Practice Fax: 612-668-5010

1619525987 — MR. SHAFI ABDULLE CNP
Practice Location Address:

4727 HIAWATHA AVE
MINNEAPOLIS, MN
55406-3928

Practice Phone: 999-999-9999
Practice Fax:

1033529904 — MS. JUDY ANN BROWN LICSW
Practice Location Address:

3301 25TH AVE S
MINNEAPOLIS, MN
55406-2405

Practice Phone: 612-532-2292
Practice Fax: 612-724-3959

Directions to “GRACE THERAPY CENTER LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.