NPIMap

Organization Active NPI

Gabby Care Homes LLC

  • Assisted Living Facility (Mental Illness)
  • Champlin, MN
National Provider Identifier
1679219653
Registry record updated May 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X
Legal business name
GABBY CARE HOMES LLC
Practice address
1520 Pennsylvania Ave N
Champlin, MN 55316-2017
Phone
(952) 649-1097
NPI assigned
May 11, 2022
Organization subpart
Yes
Parent organization
GABBY CARE HOMES LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 11, 2022

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

Authorized official

Name
Samuel Obwaya, RN
Title
Owner/RN/Assit. Admin
Phone
(952) 649-1097

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility (Mental Illness) 3104A0625X Primary

Addresses

Primary practice location

1520 Pennsylvania Ave N
Champlin, MN 55316-2017

Mailing address

18594 Tyler St NW
Elk River, MN 55330-4509
Phone (952) 649-1097

Other names 1

  • Gabby Care Homes LLC - Liz House Doing business as

National Provider Directory

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

Other organizations with this tax ID 6

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1652227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652227200000",
    "number": "1679219653",
    "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": "952-649-1097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1520 PENNSYLVANIA AVE N",
            "city": "CHAMPLIN",
            "state": "MN",
            "postal_code": "553162017",
            "telephone_number": "952-649-1097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GABBY CARE HOMES LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GABBY CARE HOMES LLC",
        "enumeration_date": "2022-05-11",
        "last_updated": "2022-05-11",
        "certification_date": "2022-04-28",
        "status": "A",
        "authorized_official_last_name": "OBWAYA",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_title_or_position": "OWNER/RN/ASSIT. ADMIN",
        "authorized_official_telephone_number": "952-649-1097",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gabby Care Homes LLC - Liz House",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 May 11, 2022; 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.