Provider Demographics
NPI:1982951182
Name:GAREDA LLC
Entity Type:Organization
Organization Name:GAREDA LLC
Other - Org Name:GAREDA HOME CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:ELLA
Authorized Official - Middle Name:
Authorized Official - Last Name:GRAYS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:708-868-1300
Mailing Address - Street 1:475 E 162ND ST STE 200
Mailing Address - Street 2:
Mailing Address - City:SOUTH HOLLAND
Mailing Address - State:IL
Mailing Address - Zip Code:60473-2259
Mailing Address - Country:US
Mailing Address - Phone:708-868-1300
Mailing Address - Fax:708-868-4883
Practice Address - Street 1:475 E 162ND ST STE 200
Practice Address - Street 2:
Practice Address - City:SOUTH HOLLAND
Practice Address - State:IL
Practice Address - Zip Code:60473-2259
Practice Address - Country:US
Practice Address - Phone:708-868-1300
Practice Address - Fax:708-868-4883
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-07
Last Update Date:2023-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes376J00000XNursing Service Related ProvidersHomemakerGroup - Multi-Specialty
No253Z00000XAgenciesIn Home Supportive CareGroup - Multi-Specialty