OrganizationActive
Jabez Customized Living Services
NPI 1487136206 · Home Health Agency · Brooklyn Park, MN
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(67/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 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
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.