Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Gumbo LLC

Q: What type of organization is Gumbo LLC?

Gumbo LLC is registered in NPPES as a Skilled Nursing Facility (its primary provider taxonomy).

Skilled Nursing Facility in Mishawaka, IN · enumerated 2014 · authorized official Michael Gumbo, Ceo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1982000964

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Registry record

Entity type Organization (Type 2)

Legal business name Gumbo LLC

Practice address 2618 River Ave, Mishawaka, IN, 46544

Phone (269) 240-7881

Enumeration date Nov 18, 2014

Last updated in NPPES Nov 18, 2014

Taxonomy & classification

314000000X Skilled Nursing Facility Nursing & Custodial Care Facilities · License 28188157A (IN) Primary

Authorized official

Name Michael Gumbo

Title Ceo

Phone (269) 240-7881

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What is a Type 2 NPI?

A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

What type of organization is Gumbo LLC?

Gumbo LLC is registered in NPPES as a Skilled Nursing Facility (its primary provider taxonomy).

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2014-11-18.