Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

MERGITU AMDE TIBESSO
NPI 1336055136
Custodial Care Facility - Adult Care Home in Farmington, MN

Q: What is Mergitu Tibesso's NPI number?

The NPI number for Mergitu Tibesso is 1336055136. It was assigned to this individual provider in the NPPES registry on August 21, 2026.

Q: What is Mergitu Tibesso's specialty?

The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.

Q: When was this NPI record last updated?

The NPPES record for Mergitu Tibesso was last updated on August 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 days 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.

Active since August 21, 2026

18562 EGRET WAY, FARMINGTON, MN 55024(507) 279-8136 Get Directions Write a Review

NPPES record added: August 21, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Mergitu Amde Tibesso NPPES

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

MERGITU AMDE TIBESSO (NPI 1336055136) is an individual adult care home provider in Farmington, Minnesota and active in the NPI registry since August 2026.

NPPES Registry Identity

NPI1336055136

Entity TypeIndividualFemale

Primary Taxonomy311ZA0620X

Provider Legal NameMERGITU AMDE TIBESSO

Location Address18562 EGRET WAYFarmington, MN 55024-8627

Mailing Address18562 Egret WayFarmington, MN 55024-8627

Phone(507) 279-8136

Sole ProprietorYes

Enumeration DateAugust 21, 2026

NPPES CertifiedAugust 21, 2026

✔ NPI 1336055136 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCustodial Care Facility · Adult Care HomeNursing & Custodial Care Facilities

Taxonomy Code311ZA0620X

Definition

A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.

18562 EGRET WAY, Farmington, MN 55024

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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 Mergitu Tibesso's NPI number?

The NPI number for Mergitu Tibesso is 1336055136. It was assigned to this individual provider in the NPPES registry on August 21, 2026.

Where is Mergitu Tibesso located?

Mergitu Tibesso practices at 18562 Egret Way, Farmington, MN 55024. The listed phone number is (507) 279-8136.

What is Mergitu Tibesso's specialty?

The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.

When was this NPI record last updated?

The NPPES record for Mergitu Tibesso was last updated on August 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 days 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.