National Provider Identifier Database

GRANITE CARE HOME INC
Intermediate Care Facility, Mentally Retarded

(1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals.


Contact Information

GRANITE CARE HOME, INC.
202 2ND AVE S
SAUK RAPIDS, MN56379-1412
Phone: 320-251-4736
Fax: 320-654-6584
Website:
Specialty Taxonomy Code
* Intermediate Care Facility, Mentally Retarded 315P00000X

* Indicates primary specialty

NPI Profile & details for GRANITE CARE HOME, INC.

NPI Number 1326268194
Legal business name
LBN
GRANITE CARE HOME, INC.
Authorized official CHARLOTTE DHEIN - (PROGRAM DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 04/26/2007
Last updated 08/22/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • MN License #: 800919-2-RS

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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