Organization · Type 2 NPI

Gabby Care Homes LLC

Assisted Living Facility · Champlin, MN

NPI number 1689211666 Active

Practice location

1500 Pennsylvania Ave N
Champlin, MN 55316-2017

Call (612) 481-3138 Map

Mailing address

18594 Tyler St NW
Elk River, MN 55330-4509

Other practice locations

1502 Pennsylvania Ave N, Champlin, MN 55316-2017 · (612) 481-3138

Specialties and licenses

Taxonomy	Code	License
Assisted Living Facility Primary	310400000X	None listed
Assisted Living Facility (Mental Illness)	3104A0625X	None listed

Assisted Living Facility: A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

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NPI record

NPI: 1689211666
Entity type: Organization (Type 2)
Issued: Dec 9, 2019
Last updated: Sep 15, 2020
Status: Active
Subpart: Yes of Gabby Care Homes LLC

Other names

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Gabby Care Homes LLC - Cilla House · doing business as
Gabby Care Homes LLC - Cilla House · doing business as
Gabby Care Homes LLC - Fort Lee House · doing business as

Authorized official

Faith Omurwa
Administrator
(612) 481-3138

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1689211666

Gabby Care Homes LLC's National Provider Identifier is 1689211666, issued on Dec 9, 2019. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Champlin, MN. The record was last updated on Sep 15, 2020.