Jennipher Lynn Gibbons
NPI 1609595024ActiveIndividual· Custodial Care Facility· Edmore, MI
Custodial Care Facility in Edmore, Michigan, licensed in MI, with an NPI issued in August 2022.
Overview
| NPI | 1609595024 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | Yes |
| NPI issued | Aug 29, 2022 |
| Last updated in NPPES | Aug 29, 2022 |
| Certified by provider | Aug 12, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Custodial Care Facility Primary | 311Z00000X | AF590409770 | MI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|