1114728722 NPI number — GINTO HOME HEALTH LLC

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1114728722 NPI number — GINTO HOME HEALTH LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
GINTO HOME HEALTH LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1114728722
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/20/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
37242 RICO COMMON
Provider Second Line Business Mailing Address:
APARTMENT 1042
Provider Business Mailing Address City Name:
FREMONT
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
94536-5361
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
209-905-4599
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
41829 ALBRAE ST STE 217
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
FREMONT
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
94538-3144
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
209-905-4599
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/20/2025

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
GAVIERES
Authorized Official First Name:
JOAN CHERRYL
Authorized Official Middle Name:
BAUTISTA
Authorized Official Title or Position:
ADMINISTRATOR
Authorized Official Telephone Number:
209-905-4599

Provider Taxonomy Codes

  • Taxonomy code: 251E00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)