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
Agencies
Practice location
1147 S 3rd St
Niles, MI 49120-3472
Phone: (269) 684-9470
Approximate (ZIP-level) locationGet directions
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.