Provider Demographics
NPI:1669087904
Name:GRATITUDE HOMECARE, LLC
Entity type:Organization
Organization Name:GRATITUDE HOMECARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT/ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:JELA
Authorized Official - Middle Name:
Authorized Official - Last Name:MARETIC
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-588-0973
Mailing Address - Street 1:35A GRANT AVE
Mailing Address - Street 2:
Mailing Address - City:CLIFFSIDE PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07010-3106
Mailing Address - Country:US
Mailing Address - Phone:201-588-0973
Mailing Address - Fax:
Practice Address - Street 1:140 E RIDGEWOOD AVE STE 415
Practice Address - Street 2:
Practice Address - City:PARAMUS
Practice Address - State:NJ
Practice Address - Zip Code:07652-3915
Practice Address - Country:US
Practice Address - Phone:201-588-0973
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-14
Last Update Date:2020-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care