Organization Active NPI

GFRS LLC

Doing business as Amada Orland Park

  • In Home Supportive Care Agency
  • Crown Point, IN
National Provider Identifier
1033674551
Registry record updated Nov 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
GFRS LLC
Doing business as
Amada Orland Park
Amada Senior Care of Northwest Indiana
Practice address
1504 N Main St Ste C
Crown Point, IN 46307-2375
Phone
(219) 213-3517
Fax
(219) 213-3513
NPI assigned
Feb 8, 2019
Organization subpart
Yes
Parent organization
GFRS LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 29, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Gregory Joseph Farley
Title
Owner
Phone
(219) 213-3517

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

1504 N Main St Ste C
Crown Point, IN 46307-2375

Mailing address

1504 N Main St Ste C
Crown Point, IN 46307-2375
Phone (219) 213-3517

Other practice location 1

15020 S Ravinia Ave Ste 20
Orland Park, IL 60462-5352
Phone (708) 467-1266

Other identifiers 1

IdentifierTypeStateIssuer
AF193OtherLOCATION IDENTIFIER

Other names 2

  • Amada Orland Park Doing business as
  • Amada Senior Care of Northwest Indiana Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address g.farley@amadaseniorcare.com

National Provider Directory

National Provider Directory
Part of
GFRS LLC

Locations

15020 S Ravinia Ave
Ste 20
Orland Park, IL 60462
Phone (708) 467-1266

1504 N Main St
Ste C
Crown Point, IN 46307
Phone (219) 213-3517

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1549584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669680000000",
    "number": "1033674551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1504 N MAIN ST STE C",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463072375",
            "telephone_number": "219-213-3517",
            "fax_number": "219-213-3513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1504 N MAIN ST STE C",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463072375",
            "telephone_number": "219-213-3517",
            "fax_number": "219-213-3513"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15020 S Ravinia Ave Ste 20",
            "address_purpose": "LOCATION",
            "city": "Orland Park",
            "state": "IL",
            "postal_code": "604625352",
            "country_code": "US",
            "telephone_number": "708-467-1266",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GFRS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GFRS LLC",
        "enumeration_date": "2019-02-08",
        "last_updated": "2022-11-29",
        "certification_date": "2022-11-29",
        "status": "A",
        "authorized_official_last_name": "FARLEY",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "219-213-3517",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LOCATION IDENTIFIER",
            "identifier": "AF193",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "g.farley@amadaseniorcare.com",
            "affiliation": "N",
            "address_1": "1504 N Main St Ste C",
            "city": "Crown Point",
            "state": "IN",
            "country_code": "US",
            "postal_code": "463072375",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Amada Orland Park",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Amada Senior Care of Northwest Indiana",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Crown Point, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.