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Ghac3 Niles Mi Alf Trs Sub LLC — NPI 1639861297, Niles, MI | NPI Central

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NPI 1639861297

OrganizationActive

Ghac3 Niles Mi Alf Trs Sub LLC

NPI 1639861297 · Nursing Care Agency · Niles, MI

Provider details

NPI number: 1639861297
Entity type: Organization
Primary specialty: Nursing Care AgencyAgencies
Organization subpart: No
Authorized official: Tammy Gerardot, Sr Directo of Compliance & Revenue(260) 414-5085

Specialties & taxonomies

Nursing Care AgencyPrimary251J00000X
Agencies

Practice location

1147 S 3rd St

Niles, MI 49120-3472

Phone: (269) 684-9470

Approximate (ZIP-level) locationGet directions

More MI providers

Mailing address

1102 Chestnut Hills Pkwy Ste 100

Fort Wayne, IN 46814-8728

Other names (DBA / former)

Doing business as: Brentwood of Niles Senior Living

Registry dates

Enumerated: 2023-05-23
Last updated: 2023-05-23
Certified: 2023-05-23

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.