Gentle Haven

Primary specialty

Nursing Care AgencyTaxonomy code 251J00000X

Legal business name

GENTLE HAVEN

Practice address

8045 159TH St W
Apple Valley, MN 55124-7054

Phone

(612) 913-9934

NPI assigned

Apr 20, 2020

Organization subpart

No

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

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Gentle Haven LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

• Gentle Haven

  • Assisted Living Facility
  • Rosemount, MN
  • NPI 1073375788
  NPD tax ID
• Gentle Haven

  • In Home Supportive Care Agency
  • Rosemount, MN
  • NPI 1902778053
  NPD tax ID
• Gentle Haven LLC

  • Home Health Agency
  • Rosemount, MN
  • NPI 1588421580
  NPD tax ID

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

{
    "created_epoch": "1587340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612742400000",
    "number": "1154941128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8045 159TH ST W",
            "city": "APPLE VALLEY",
            "state": "MN",
            "postal_code": "551247054",
            "telephone_number": "612-913-9934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8045 159TH ST W",
            "city": "APPLE VALLEY",
            "state": "MN",
            "postal_code": "551247054",
            "telephone_number": "612-913-9934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENTLE HAVEN",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-20",
        "last_updated": "2021-02-08",
        "certification_date": "2021-02-08",
        "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": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Marie Gaither, PA-C
• Hannah Elizabeth Gallucci
• Jamie Gamache, MD
• Sarah Anne Gamoke, DC
• Trevor Anthony Garski, OTR/L
• George Dental Apple Valley PA
• Ashley Gerdes, PMHNP-BC
• Paul B. Gersmeyer, DDS
• Abigail Rayna Ghylin, PA-S
• Lauren Elizabeth Gibbons, MS, PA-C

• Nursing Care Agency in Apple Valley, MN
• Providers in Apple Valley, MN by specialty
• Nursing Care Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.