# GARK COMMUNITY SUPPORT SHV 3, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1477457687
- **Authorized official:** RAMA KILARU (OWNER)
- **Authorized official phone:** (402) 885-5476

## Contact information

- **Practice address:** 11330 S 176TH ST, BENNET, NE 68317-2307
- **Practice address phone:** (402) 885-5476
- **Mailing address:** 11330 S 176TH ST, BENNET, NE 68317-2307

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251C00000X | Developmentally Disabled Services Day Training Agency | — | NULL | — |
| 251E00000X | Home Health Agency | — | NULL | Yes |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | — |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | — | NULL | — |
| 320900000X | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | — | NULL | — |
| 343900000X | Non-emergency Medical Transport (VAN) | — | NULL | — |
| 385H00000X | Respite Care | — | NULL | — |
| 385HR2060X | Child Intellectual and/or Developmental Disabilities Respite Care | — | NULL | — |

## Other

- **Enumeration date:** 10/03/2026
- **Last updated:** 10/03/2026