OrganizationActive
Jabez Customized Living Services
NPI 1487136206 · Home Health Agency · Brooklyn Park, MN
Jabez Customized Living Services is a Home Health Agency organization in Brooklyn Park, MN (NPI 1487136206).
Provider details
- NPI number
- 1487136206
- Entity type
- Organization
- Primary specialty
- Home Health AgencyAgencies
- Parent organization
- Urban Hope Ministries Inc
- Organization subpart
- Yes
- Authorized official
- Pandora White, Director of Operations/Owner(612) 272-8009
Specialties & taxonomies
Agencies
Profile Score
Established profile(68/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1417 Brookdale Dr
Brooklyn Park, MN 55444-2129
Phone: (612) 272-8009
Fax: (612) 601-8962
Street-level locationGet directions
Mailing address
1417 Brookdale Dr
Minneapolis, MN 55444-2129
Other names (DBA / former)
- Doing business as
- Jabez Customized Living Services
- Doing business as
- Jabez Customized Living Services
Registry dates
- Enumerated
- 2018-08-29
- Last updated
- 2019-01-11
Frequently asked questions
- What is Jabez Customized Living Services's NPI number?
- Jabez Customized Living Services's National Provider Identifier (NPI) is 1487136206, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Jabez Customized Living Services?
- Jabez Customized Living Services is classified in the NPPES registry as Home Health Agency (Agencies).
- Where is Jabez Customized Living Services located?
- Jabez Customized Living Services's practice location on file with NPPES is 1417 Brookdale Dr, Brooklyn Park, MN 55444-2129.
- What is Jabez Customized Living Services's phone number?
- The practice phone number listed in the NPPES registry for Jabez Customized Living Services is (612) 272-8009.
- Who is the authorized official for Jabez Customized Living Services?
- The authorized official listed on Jabez Customized Living Services's NPPES record is Pandora White, Director of Operations/Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Jabez Customized Living Services's NPI active?
- Yes — Jabez Customized Living Services's NPI (1487136206) is active in the NPPES registry as of the last update on 2019-01-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.