Gumbo LLC
Gumbo LLC is a healthcare organization registered as Skilled Nursing Facility in Mishawaka, IN, holding Type 2 (organization) NPI 1982000964 since 2014. The authorized official on file is Michael Gumbo, Ceo.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1982000964 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Gumbo LLC |
| Practice address | 2618 RIVER AVE, Mishawaka, IN, 46544 |
| Phone | 2692407881 |
| Enumeration date | 2014-11-18 |
| Last updated in NPPES | 2014-11-18 |
Authorized official
| Name | Michael Gumbo |
|---|---|
| Title | Ceo |
| Phone | 2692407881 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 314000000X | Skilled Nursing Facility | Primary | 28188157A | IN |
Copy-ready billing details
Provider: Gumbo LLC NPI: 1982000964 Taxonomy: 314000000X (Skilled Nursing Facility) Address: 2618 RIVER AVE, Mishawaka, IN, 46544
Verify this record
Cross-check NPI 1982000964 against the authoritative CMS record: view Gumbo LLC on the official NPPES registry .
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 or validate an NPI number.
Frequently asked questions
What is a Type 2 NPI?
What type of organization is Gumbo LLC?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2014-11-18.