GUMBO LLC
NPI 1982000964
Skilled Nursing Facility in Mishawaka, IN

Active since November 18, 2014
2618 RIVER AVE, MISHAWAKA, IN 46544(269) 240-7881 Get Directions Write a Review

NPPES record last updated: November 18, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Gumbo Llc NPPES

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

GUMBO LLC (NPI 1982000964) is a healthcare organization registered as a skilled nursing facility in Mishawaka, Indiana and active in the NPI registry since November 2014. The organization lists Michael Gumbo, Ceo, as its authorized official.

NPPES Registry Identity

NPI1982000964
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameGUMBO LLC
Location Address2618 RIVER AVEMishawaka, IN 46544-1568
Mailing Address2618 River AveMishawaka, IN 46544-1568
Organization SubpartNo
Authorized OfficialMichael GumboCeo · (269) 240-7881
Enumeration DateNovember 18, 2014
NPI 1982000964 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License Licensed in IN · 28188157A
Definition

(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.

2618 RIVER AVE, Mishawaka, IN 46544

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 Gumbo LLC's NPI number?

The NPI number for Gumbo LLC is 1982000964. It was assigned to this organization in the NPPES registry on November 18, 2014.

Where is Gumbo LLC located?

Gumbo LLC is located at 2618 River Ave, Mishawaka, IN 46544. The listed phone number is (269) 240-7881.

What is Gumbo LLC's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

When was this NPI record last updated?

The NPPES record for Gumbo LLC was last updated on November 18, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.