NPIMap

Organization Active NPI

Gentle Haven

  • In Home Supportive Care Agency
  • Rosemount, MN
National Provider Identifier
1902778053
Registry record updated Sep 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
GENTLE HAVEN
Practice address
15768 Cardinal Cir
Rosemount, MN 55068-6613
Phone
(612) 913-9934
NPI assigned
Sep 18, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2025

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

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

15768 Cardinal Cir
Rosemount, MN 55068-6613

Mailing address

15768 Cardinal Cir
Rosemount, MN 55068-6613
Phone (612) 913-9934

National Provider Directory

National Provider Directory
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.

NPI Registry JSON

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

{
    "created_epoch": "1758153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758153600000",
    "number": "1902778053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15768 CARDINAL CIR",
            "city": "ROSEMOUNT",
            "state": "MN",
            "postal_code": "550686613",
            "telephone_number": "612-913-9934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15768 CARDINAL CIR",
            "city": "ROSEMOUNT",
            "state": "MN",
            "postal_code": "550686613",
            "telephone_number": "612-913-9934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENTLE HAVEN",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-18",
        "last_updated": "2025-09-18",
        "certification_date": "2025-09-18",
        "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": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rosemount, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2025; 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.