NPI Code Details Logo

NPI 1295440774

NPI 1295440774 : GAREDA LLC : ROSEMONT, IL

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1295440774
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    GAREDA LLC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    01/18/2023
-----------------------------------------------------
    Last Update Date     |    12/17/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    6400 SHAFER CT STE 300 
-----------------------------------------------------
    City                 |    ROSEMONT
-----------------------------------------------------
    State                |    IL
-----------------------------------------------------
    Zip                  |    60018-4929
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    773-437-1096
-----------------------------------------------------
    Fax                  |    888-391-0856
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    6400 SHAFER CT STE 300 
-----------------------------------------------------
    City                 |    ROSEMONT
-----------------------------------------------------
    State                |    IL
-----------------------------------------------------
    Zip                  |    60018-4929
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    773-437-1096
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    VP, DEPUTY GENERAL COUNSEL
-----------------------------------------------------
    Name                 |     HEATHER  SISCEL 
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    773-437-1096
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    376J00000X
-----------------------------------------------------
    Taxonomy Name        |    Homemaker
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    253Z00000X
-----------------------------------------------------
    Taxonomy Name        |    In Home Supportive Care Agency
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2025 Data Labs Health. All rights reserved.