NPIMap

Organization Active NPI

Gabby Care Homes LLC

Doing business as Gabby Care Homes LLC - Faith's House

  • Assisted Living Facility
  • Champlin, MN
National Provider Identifier
1699380683
Registry record updated Feb 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
GABBY CARE HOMES LLC
Doing business as
Gabby Care Homes LLC - Faith's House
Gabby Care Homes LLC - Sam's House
Practice address
1513 Pennsylvania Ave N
Champlin, MN 55316-2016
Phone
(612) 481-3138
NPI assigned
Sep 15, 2020
Last updated
Feb 3, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
GABBY CARE HOMES LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 3, 2022

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

Authorized official

Name
Faith Omurwa, RN
Title
Administrator/RN
Phone
(612) 481-3138

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X NU Primary
Assisted Living Facility (Mental Illness) 3104A0625X NU

Addresses

Primary practice location

1513 Pennsylvania Ave N
Champlin, MN 55316-2016

Mailing address

18594 Tyler St NW
Elk River, MN 55330-4509
Phone (612) 481-3138

Other practice location 1

1306 W River Rd # 2
Champlin, MN 55316-2102
Phone (612) 481-3138

Other names 2

  • Gabby Care Homes LLC - Faith's House Doing business as
  • Gabby Care Homes LLC - Sam's 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": "1600128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643846400000",
    "number": "1699380683",
    "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": "612-481-3138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1513 PENNSYLVANIA AVE N",
            "city": "CHAMPLIN",
            "state": "MN",
            "postal_code": "553162016",
            "telephone_number": "612-481-3138"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1306 W River Rd # 2",
            "address_purpose": "LOCATION",
            "city": "Champlin",
            "state": "MN",
            "postal_code": "553162102",
            "country_code": "US",
            "telephone_number": "612-481-3138",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GABBY CARE HOMES LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GABBY CARE HOMES LLC",
        "enumeration_date": "2020-09-15",
        "last_updated": "2022-02-03",
        "certification_date": "2022-02-03",
        "status": "A",
        "authorized_official_last_name": "OMURWA",
        "authorized_official_first_name": "FAITH",
        "authorized_official_title_or_position": "ADMINISTRATOR/RN",
        "authorized_official_telephone_number": "612-481-3138",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gabby Care Homes LLC - Faith's House",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Gabby Care Homes LLC - Sam's 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 Feb 3, 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.