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GENTLE HAVEN
NPI 1073375788
Assisted Living Facility in Rosemount, MN

Active since January 29, 2024CLIA Certified · 2 labs
15768 CARDINAL CIR, ROSEMOUNT, MN 55068(612) 913-9934 Get Directions Write a Review

NPPES record last updated: January 29, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Gentle Haven NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GENTLE HAVEN (NPI 1073375788) is a healthcare organization registered as an assisted living facility in Rosemount, Minnesota and active in the NPI registry since January 2024. The organization holds 2 active CLIA laboratory certificates and lists Jared Omboi, Administrator, as its authorized official.

NPPES Registry Identity

NPI1073375788
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameGENTLE HAVEN
Location Address15768 CARDINAL CIRRosemount, MN 55068-6613
Mailing Address15768 Cardinal CirRosemount, MN 55068-6613 · (612) 913-9934
Phone(612) 913-9934
Organization SubpartYes
Authorized OfficialJared OmboiAdministrator · (612) 913-9934
Enumeration DateJanuary 29, 2024
NPPES CertifiedJanuary 28, 2024
✔ NPI 1073375788 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
Definition
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.
15768 CARDINAL CIR, Rosemount, MN 55068
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CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 24D2307580

Gentle Haven LLC · Rosemount, MN
Active · expires Jul 10, 2028
CLIA Number24D2307580
Laboratory TypeAssisted Living Facility
Certificate Effective DateJuly 11, 2026
Certificate Expiration DateJuly 10, 2028
Laboratory DirectorJared N. Omboi
Laboratory Phone(612) 913-9934
Laboratory LocationGentle Haven LLC15768 Cardinal Cir, Rosemount, MN 55068
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 24D2216046

Gentle Haven LLC · Apple Valley, MN
Active · expires Mar 8, 2027
CLIA Number24D2216046
Laboratory TypeAssisted Living Facility
Certificate Effective DateMarch 9, 2025
Certificate Expiration DateMarch 8, 2027
Laboratory DirectorJared N. Omboi
Laboratory Phone(612) 913-9934
Laboratory LocationGentle Haven LLC8045 159th Street West, Apple Valley, MN 55124
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GENTLE HAVEN LLC
Home Health
15768 CARDINAL CIR
ROSEMOUNT, MN 55068
Dakota County (612) 913-9934
GENTLE HAVEN
In Home Supportive Care
15768 CARDINAL CIR
ROSEMOUNT, MN 55068
Dakota County (612) 913-9934

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gentle Haven's NPI number?

The NPI number for Gentle Haven is 1073375788. It was assigned to this organization in the NPPES registry on January 29, 2024.

Where is Gentle Haven located?

Gentle Haven is located at 15768 Cardinal Cir, Rosemount, MN 55068. The listed phone number is (612) 913-9934.

What is Gentle Haven's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Does Gentle Haven hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Gentle Haven was last updated on January 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.