Provider Demographics
NPI:1164449120
Name:GRARUDA ENTERPRISES, INC.
Entity Type:Organization
Organization Name:GRARUDA ENTERPRISES, INC.
Other - Org Name:UNITY HOMECARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:BENITA
Authorized Official - Middle Name:
Authorized Official - Last Name:TURK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-944-0500
Mailing Address - Street 1:4000 DOVER ST
Mailing Address - Street 2:SUITE 100
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77087-4693
Mailing Address - Country:US
Mailing Address - Phone:713-944-0500
Mailing Address - Fax:713-944-0600
Practice Address - Street 1:4000 DOVER ST STE 100
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77087-4694
Practice Address - Country:US
Practice Address - Phone:713-944-0500
Practice Address - Fax:713-944-0600
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-16
Last Update Date:2023-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX007402251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX025218101Medicaid
TX679018Medicare ID - Type UnspecifiedHOME HALTH AGENCY