Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Gumbo LLC

Organization Skilled Nursing Facility · NPI 1982000964

Gumbo LLC is a Skilled Nursing Facility in Mishawaka, Indiana. Licensed in Indiana. Registered with an NPI since 2014.

Licensed in
IN
In the registry since
2014
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2618 River Ave
Mishawaka, IN 46544-1568
Phone: (269) 240-7881
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Skilled Nursing Facility (primary) Taxonomy 314000000X · Licence 28188157A (IN)

Record details

NPI number1982000964
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Gumbo — Ceo · (269) 240-7881
NPI enumeratedNovember 18, 2014
Last updated in NPPESNovember 18, 2014
Mailing address2618 River Ave, Mishawaka, IN 46544-1568

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