NPIMap

Organization Active NPI

Gentle Haven

  • Assisted Living Facility
  • Rosemount, MN
National Provider Identifier
1073375788
Registry record updated Jan 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
GENTLE HAVEN
Practice address
15768 Cardinal Cir
Rosemount, MN 55068-6613
Phone
(612) 913-9934
NPI assigned
Jan 29, 2024
Organization subpart
Yes
Parent organization
GENTLE HAVENAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 29, 2024

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

Authorized official

Name
Jared Omboi
Title
Administrator
Phone
(612) 913-9934

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

15768 Cardinal Cir
Rosemount, MN 55068-6613

Mailing address

15768 Cardinal Cir
Rosemount, MN 55068-6613
Phone (612) 913-9934

National Provider Directory

National Provider Directory
Tax ID family
Gentle Haven LLC4 organizations share this tax ID, including this one
Part of
Gentle Haven LLC

Other organizations with this tax ID 3

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

NPI Registry JSON

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

{
    "created_epoch": "1706486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706486400000",
    "number": "1073375788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15768 CARDINAL CIR",
            "city": "ROSEMOUNT",
            "state": "MN",
            "postal_code": "550686613",
            "telephone_number": "612-913-9934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15768 CARDINAL CIR",
            "city": "ROSEMOUNT",
            "state": "MN",
            "postal_code": "550686613",
            "telephone_number": "612-913-9934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENTLE HAVEN",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GENTLE HAVEN",
        "enumeration_date": "2024-01-29",
        "last_updated": "2024-01-29",
        "certification_date": "2024-01-28",
        "status": "A",
        "authorized_official_last_name": "OMBOI",
        "authorized_official_first_name": "JARED",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "612-913-9934"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rosemount, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2024; 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.