NPIMap

Organization Active NPI

Gabby Care Homes LLC

  • Assisted Living Facility
  • Champlin, MN
National Provider Identifier
1073090429
Registry record updated Jul 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
386618 Issued in MN
Legal business name
GABBY CARE HOMES LLC
Practice address
1512 Pennsylvania Ave N
Champlin, MN 55316-2017
Phone
(612) 481-3138
NPI assigned
Jul 27, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Faith Omurwa
Title
Administrator
Phone
(612) 481-3138

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 386618 MN Primary

Addresses

Primary practice location

1512 Pennsylvania Ave N
Champlin, MN 55316-2017

Mailing address

18594 Tyler St NW
Elk River, MN 55330-4509
Phone (612) 481-3138

National Provider Directory

National Provider Directory
Tax ID family
Gabby Care Homes LLC - Oregon House7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Subparts reporting this organization as parent 6

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1532649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532649600000",
    "number": "1073090429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18594 TYLER ST NW",
            "city": "ELK RIVER",
            "state": "MN",
            "postal_code": "553304509",
            "telephone_number": "612-481-3138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1512 PENNSYLVANIA AVE N",
            "city": "CHAMPLIN",
            "state": "MN",
            "postal_code": "553162017",
            "telephone_number": "612-481-3138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GABBY CARE HOMES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-27",
        "last_updated": "2018-07-27",
        "status": "A",
        "authorized_official_last_name": "OMURWA",
        "authorized_official_first_name": "FAITH",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "612-481-3138"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MN",
            "license": "386618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Champlin, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.