GABBY CARE HOMES LLC
NPI 1073090429
Assisted Living Facility in Champlin, MN

Active since July 27, 2018
1512 PENNSYLVANIA AVE N, CHAMPLIN, MN 55316(612) 481-3138 Get Directions Write a Review

NPPES record last updated: July 27, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Assisted Living Facility

About GABBY CARE HOMES LLC

This page provides the complete NPI Profile along with additional information for Gabby Care Homes Llc, a provider established in Champlin, Minnesota operating as a Assisted Living Facility. The healthcare provider is registered in the NPI registry with number 1073090429 assigned on July 2018. The practitioner's primary taxonomy code is 310400000X with license number 386618 (MN). The provider is registered as an organization and their NPI record was last updated 8 years ago. The authorized official of this NPI record is Faith Omurwa (Administrator)

NPI
1073090429 Verify this NPI
Provider Name
GABBY CARE HOMES LLC
Entity Type
Organization
Location Address
1512 PENNSYLVANIA AVE N CHAMPLIN, MN 55316
Location Phone
(612) 481-3138
Mailing Address
18594 TYLER ST NW ELK RIVER, MN 55330
Mailing Phone
(612) 481-3138
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-27-2018
Last Update Date
07-27-2018
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Assisted Living Facility

Taxonomy Code
310400000X
Type
Nursing & Custodial Care Facilities
License No.
386618
License State
MN
Taxonomy Description
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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

FAITH OMURWA

Authorized Official Title
ADMINISTRATOR
Authorized Official Phone
(612) 481-3138

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Assisted Living Facility
1512 PENNSYLVANIA AVE N
CHAMPLIN, MN 55316

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1073090429, enumerated as an "organization" on July 27, 2018.

The provider is located at 1512 PENNSYLVANIA AVE N CHAMPLIN, MN 55316 and the phone number is (612) 481-3138.

Assisted Living Facility with taxonomy code 310400000X.