Gentle Caring Mind Healthcare LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

GENTLE CARING MIND HEALTHCARE LLC

Practice address

3833 Coon Rapids Blvd NW Ste 260
Coon Rapids, MN 55433-2597

Phone

(651) 283-1185

Fax

(763) 272-4584

NPI assigned

Oct 3, 2025

Organization subpart

No

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

Authorized official

Name

Elvis Tabukum Che Elvis Tabukum

Title

President & Ceo

Phone

(651) 283-1185

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Tax ID family

Gentle Caring Mind Healthcare LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Gentle Caring Mind Healthcare LLC

  • Clinic/Center
  • Coon Rapids, MN
  • NPI 1568243772
  NPD tax ID

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Judith Neh Shu Tse, APRN, CNP

  • Family Nurse Practitioner
  • Coon Rapids, MN
  • NPI 1124409537
  Medicare reassignment
• Felicitas Muhan Tabukum

  • General Practice Registered Nurse
  • Coon Rapids, MN
  • NPI 1700634474
  NPD

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

{
    "created_epoch": "1759449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773187200000",
    "number": "1295609089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3833 COON RAPIDS BLVD NW STE 260",
            "city": "COON RAPIDS",
            "state": "MN",
            "postal_code": "554332597",
            "telephone_number": "651-283-1185",
            "fax_number": "763-272-4584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3833 COON RAPIDS BLVD NW STE 260",
            "city": "COON RAPIDS",
            "state": "MN",
            "postal_code": "554332597",
            "telephone_number": "651-283-1185",
            "fax_number": "763-272-4584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENTLE CARING MIND HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-03",
        "last_updated": "2026-03-11",
        "certification_date": "2026-03-11",
        "status": "A",
        "authorized_official_last_name": "ELVIS TABUKUM",
        "authorized_official_first_name": "ELVIS TABUKUM",
        "authorized_official_middle_name": "CHE",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "651-283-1185"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adanech W Genboz
• Generations Foot and Ankle Clinic
• Genoa Healthcare LLC
• Charles Owen Gensmer, M.D.
• Elena Loya Gentilini, MD
• Gentle Caring Mind Healthcare LLC
• Twyla George, LICSW
• Sandra Jean Georgeson, RPH
• Maya Gerads
• Molly E Gerads, AU.D.

• Family Medicine Physician in Coon Rapids, MN
• Providers in Coon Rapids, MN by specialty
• Family Medicine Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.