Provider Demographics
NPI:1639521123
Name:GARCIA'S H.H.C. LLC
Entity Type:Organization
Organization Name:GARCIA'S H.H.C. LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JUANITA
Authorized Official - Middle Name:G
Authorized Official - Last Name:DEFAY
Authorized Official - Suffix:
Authorized Official - Credentials:RN BSN
Authorized Official - Phone:269-759-4823
Mailing Address - Street 1:110 S BENTON CENTER RD
Mailing Address - Street 2:
Mailing Address - City:BENTON HARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:49022-9782
Mailing Address - Country:US
Mailing Address - Phone:269-759-4823
Mailing Address - Fax:
Practice Address - Street 1:4000 PORTAGE ST STE 113
Practice Address - Street 2:
Practice Address - City:KALAMAZOO
Practice Address - State:MI
Practice Address - Zip Code:49001-4962
Practice Address - Country:US
Practice Address - Phone:269-759-4823
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-07-07
Last Update Date:2022-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704191219251E00000X
251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health