Gahc3 Niles Mi Alf TRS Sub, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

GAHC3 NILES MI ALF TRS SUB, LLC

Practice address

1147 S 3Rd St
Niles, MI 49120-3472

Phone

(269) 910-7467

NPI assigned

Jun 9, 2015

Organization subpart

No

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

Authorized official

Name

Danny Prosky

Title

Authorized Representative

Phone

(949) 270-9200

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1433808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433808000000",
    "number": "1760863393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1147 SOUTH THIRD STREET",
            "city": "NILES",
            "state": "MI",
            "postal_code": "49120",
            "telephone_number": "269-910-7467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1147 S 3RD ST",
            "city": "NILES",
            "state": "MI",
            "postal_code": "491203472",
            "telephone_number": "269-910-7467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GAHC3 NILES MI ALF TRS SUB, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-09",
        "last_updated": "2015-06-09",
        "status": "A",
        "authorized_official_last_name": "PROSKY",
        "authorized_official_first_name": "DANNY",
        "authorized_official_title_or_position": "AUTHORIZED REPRESENTATIVE",
        "authorized_official_telephone_number": "949-270-9200"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dawn Frese, OTR
• Annette Marie Frost, RPH
• Ashley Marie Fugate, FNP-BC
• Amanda Fuller, COMMUNITY HEALTH WOR
• Janelle L Gaban, PT
• Juan Galindo
• Kaitlyn Galuszka
• Archana Ganu
• Laurel Gaudin, COTA
• Laurie Ann Gee, NP

• Assisted Living Facility in Niles, MI
• Providers in Niles, MI by specialty
• Assisted Living Facility in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2015; 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.