Gumbo Llc is a Skilled Nursing Facility based in Mishawaka, IN. Gumbo Llc practices in Mishawaka, IN. The NPI Number for Gumbo Llc is 1982000964 and holds a License No. 28188157A (Indiana).
The current practice location address for Gumbo Llc is 2618 River Ave, Mishawaka, IN and can be reached out via phone at 269-240-7881.
Location: 2618 River Ave, Mishawaka, IN, 46544-1568
Provider Profile Details
NPI Number
1982000964
Provider Name
Gumbo Llc
Credential
Provider Entity Type
Organization
Address
2618 River Ave, Mishawaka, IN, 46544-1568
Phone Number
269-240-7881
Fax Number
Provider Enumeration Date
11/18/2014
Last Update Date
03/09/2024
Provider Business Practice Location Address Details
Address
2618 River Ave
City
State
Zip
46544-1568
Phone Number
269-240-7881
Fax Number
Provider Business Mailing Address Details
Address
2618 River Ave
City
State
Zip
46544-1568
Phone Number
269-240-7881
Fax Number
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Skilled Nursing Facility
Speciality
-
Taxonomy
License No.
28188157A (Indiana)
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.
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