DEBOORAH A GIBSON
NPI 1780844613
Custodial Care Facility - Adult Care Home in Lindstrom, MN

Active since June 13, 2008
28131 NEWBERRY TRAIL, LINDSTROM, MN 55045(651) 657-3684 Get Directions Write a Review

NPPES record last updated: June 13, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Deboorah A Gibson NPPES

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

DEBOORAH A GIBSON (NPI 1780844613) is an individual adult care home provider in Lindstrom, Minnesota, licensed in Minnesota (1020292-1-AFC) and active in the NPI registry since June 2008.

NPPES Registry Identity

NPI1780844613
Entity TypeIndividualFemale
Primary Taxonomy311ZA0620X
Provider Legal NameDEBOORAH A GIBSON
Location Address28131 NEWBERRY TRAILLindstrom, MN 55045
Mailing Address28131 Newberry TrailLindstrom, MN 55045 · (651) 657-3684
Sole ProprietorYes
Enumeration DateJune 13, 2008
NPI 1780844613 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
License Licensed in MN · 1020292-1-AFC
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.
28131 NEWBERRY TRAIL, Lindstrom, MN 55045

Other Identifiers 2

Other161648MN · Ucare
Other49-80610MN · Medica

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 Deboorah Gibson's NPI number?

The NPI number for Deboorah Gibson is 1780844613. It was assigned to this individual provider in the NPPES registry on June 13, 2008.

Where is Deboorah Gibson located?

Deboorah Gibson practices at 28131 Newberry Trail, Lindstrom, MN 55045. The listed phone number is (651) 657-3684.

What is Deboorah Gibson'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 Deboorah Gibson was last updated on June 13, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.