OrganizationActive
Gumbo LLC
NPI 1982000964 · Skilled Nursing Facility · Mishawaka, IN
Provider details
- NPI number
- 1982000964
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Michael Gumbo, Ceo(269) 240-7881
- License
- 28188157A (IN)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Detailed profile(75/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 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
2618 River Ave
Mishawaka, IN 46544-1568
Phone: (269) 240-7881
Street-level locationGet directions
Mailing address
2618 River Ave
Mishawaka, IN 46544-1568
Registry dates
- Enumerated
- 2014-11-18
- Last updated
- 2014-11-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.