# GLADSTONE PROPERTIES LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Gladstone Home Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1942668710
- **Authorized official:** ANDRAE LEMOYNE PARKS R.T.(T),MBS,CSCM (ADMINISTRATOR)
- **Authorized official phone:** (630) 581-8513

## Contact information

- **Practice address:** 100 ILLINOIS ST STE 200, SAINT CHARLES, IL 60174-1867
- **Practice address phone:** (630) 581-8513
- **Mailing address:** 100 ILLINOIS ST STE 200, SAINT CHARLES, IL 60174-1867
- **Mailing address phone:** (630) 581-8513
- **Mailing address fax:** (630) 581-8612

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |
| 347C00000X | Private Vehicle | — | NULL | — |

## Other

- **Enumeration date:** 02/08/2016
- **Last updated:** 02/08/2016