Gentle Caring Mind Healthcare LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

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

NPI assigned

Oct 12, 2023

Organization subpart

No

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

Authorized official

Name

Elvis Tabukum

Title

Owner

Phone

(651) 283-1185

Specialties & licenses 1

Addresses

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

  • Family Medicine Physician
  • Coon Rapids, MN
  • NPI 1295609089
  NPD tax ID

Locations

Practitioners 1

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

• 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": "1697068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697068800000",
    "number": "1568243772",
    "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"
        },
        {
            "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENTLE CARING MIND HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-12",
        "last_updated": "2023-10-12",
        "certification_date": "2023-10-12",
        "status": "A",
        "authorized_official_last_name": "TABUKUM",
        "authorized_official_first_name": "ELVIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "651-283-1185"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• 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.
• Masood Raheem Ghazali, M.B., B.S.

• Clinic/Center in Coon Rapids, MN
• Providers in Coon Rapids, MN by specialty
• Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2023; 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.