Active NPI
GFRS LLC
Doing business as Amada Orland Park
- In Home Supportive Care Agency
- Crown Point, IN
National Provider Identifier
1033674551
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- 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 LLC
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AF193 | Other | LOCATION IDENTIFIER |
Other names 2
- Amada Orland Park
- Amada Senior Care of Northwest Indiana
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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.