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GENTLE CARING MIND HEALTHCARE LLC
NPI 1295609089
Family Medicine in Coon Rapids, MN

Active since October 03, 2025
3833 COON RAPIDS BLVD NW STE 260, COON RAPIDS, MN 55433(651) 283-1185(763) 272-4584 Get Directions Write a Review

NPPES record last updated: March 11, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Gentle Caring Mind Healthcare Llc NPPES

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

GENTLE CARING MIND HEALTHCARE LLC (NPI 1295609089) is a healthcare organization registered as a family medicine in Coon Rapids, Minnesota and active in the NPI registry since October 2025. The organization lists Elvis Tabukum Che Elvis Tabukum, President & Ceo, as its authorized official.

NPPES Registry Identity

NPI1295609089
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameGENTLE CARING MIND HEALTHCARE LLC
Location Address3833 COON RAPIDS BLVD NW STE 260Coon Rapids, MN 55433-2597
Mailing Address3833 Coon Rapids Blvd Nw Ste 260Coon Rapids, MN 55433-2597 · (651) 283-1185 · Fax (763) 272-4584
Phone(651) 283-1185
Fax(763) 272-4584
Organization SubpartNo
Authorized OfficialElvis Tabukum Che Elvis TabukumPresident & Ceo · (651) 283-1185
Enumeration DateOctober 3, 2025
Last NPPES UpdateMarch 11, 2026
NPPES CertifiedMarch 11, 2026
✔ NPI 1295609089 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
3833 COON RAPIDS BLVD NW STE 260, Coon Rapids, MN 55433
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Gentle Caring Mind Healthcare Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Gentle Caring Mind Healthcare LLC, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Judith Shu Tse, APRN, CNP
Nurse Practitioner
NPI 1124409537
9055 SPRINGBROOK DR NW
Coon Rapids, MN 55433
(763) 780-9155
✔ PECOS✔ Accepts Medicare5.6 mi
Jennifer Scouton, LPCC
Mental Health Counselor
NPI 1134836331
7203 PERRY COURT
Brooklyn Center, MN 55429
(612) 540-0643
✔ PECOS6.8 mi
Elizabeth Eromosele, APRN, PMHNP- BC
Nurse Practitioner
NPI 1316821689
213 PENDRYN HILL ALCOVE
Woodbury, MN 55125
(651) 587-7322
✔ PECOS27 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Caring Mind Healthcare LLC's NPI number?

The NPI number for Gentle Caring Mind Healthcare LLC is 1295609089. It was assigned to this organization in the NPPES registry on October 3, 2025.

Where is Gentle Caring Mind Healthcare LLC located?

Gentle Caring Mind Healthcare LLC is located at 3833 Coon Rapids Blvd NW Ste 260, Coon Rapids, MN 55433. The listed phone number is (651) 283-1185.

What is Gentle Caring Mind Healthcare LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Gentle Caring Mind Healthcare LLC enrolled in Medicare?

Yes. Gentle Caring Mind Healthcare LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Gentle Caring Mind Healthcare LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Gentle Caring Mind Healthcare LLC, in Mental Health Counselor and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Gentle Caring Mind Healthcare LLC was last updated on March 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.