A Blooming Grace INC
Assisted Living Facility in Brooklyn Park, MN. Organization (NPI-2).
NPI number1184544538
StatusActive
Last updated in NPPESJul 16, 2026
Details
- NPI
- 1184544538
- Entity type
- Organization (NPI-2)
- Legal business name
- A Blooming Grace INC
- Organization subpart
- No
- Enumeration date
- Jul 16, 2026
- Certification date
- Jul 16, 2026
- Last updated
- Jul 16, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 310400000X | Assisted Living Facility | – | – | Yes |
Practice location
6600 Bethia LnBrooklyn Park, MN 55428-1721
Phone 612-361-7902 · Fax 612-435-9750
Mailing address
6600 Bethia LnBrooklyn Park, MN 55428-1721
Phone 612-361-7902 · Fax 612-435-9750
Authorized official
Farhiya Bashir Omar-Samatat
Owner
6128404182
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