Provider Demographics
NPI:1467726109
Name:MACROPHIL, INC.
Entity Type:Organization
Organization Name:MACROPHIL, INC.
Other - Org Name:INFINITECARE-PLUS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:LYDIA
Authorized Official - Middle Name:B
Authorized Official - Last Name:GAPAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:925-361-0025
Mailing Address - Street 1:PO BOX 5543
Mailing Address - Street 2:
Mailing Address - City:WALNUT CREEK
Mailing Address - State:CA
Mailing Address - Zip Code:94596-1543
Mailing Address - Country:US
Mailing Address - Phone:925-361-0025
Mailing Address - Fax:
Practice Address - Street 1:2424 CASA WAY
Practice Address - Street 2:
Practice Address - City:WALNUT CREEK
Practice Address - State:CA
Practice Address - Zip Code:94597-3104
Practice Address - Country:US
Practice Address - Phone:925-361-0025
Practice Address - Fax:925-361-8439
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-27
Last Update Date:2013-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA2013-3146251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health