Provider Demographics
NPI:1508412578
Name:GRANDVIEW RELIABLE CARE
Entity Type:Organization
Organization Name:GRANDVIEW RELIABLE CARE
Other - Org Name:GRANDVIEW RELIABLE CARE LLC.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MISS
Authorized Official - First Name:HIBO
Authorized Official - Middle Name:ABDILAHI
Authorized Official - Last Name:SAMATAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:952-486-9803
Mailing Address - Street 1:10800 LYNDALE AVE S STE 165
Mailing Address - Street 2:
Mailing Address - City:BLOOMINGTON
Mailing Address - State:MN
Mailing Address - Zip Code:55420-5698
Mailing Address - Country:US
Mailing Address - Phone:952-486-9803
Mailing Address - Fax:
Practice Address - Street 1:10800 LYNDALE AVE S STE 165
Practice Address - Street 2:
Practice Address - City:BLOOMINGTON
Practice Address - State:MN
Practice Address - Zip Code:55420-5698
Practice Address - Country:US
Practice Address - Phone:952-486-9803
Practice Address - Fax:612-605-6385
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-14
Last Update Date:2024-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care