Provider Demographics
NPI:1659852119
Name:GIMAG HEALTHCARE
Entity Type:Organization
Organization Name:GIMAG HEALTHCARE
Other - Org Name:GIMAG HOSPICE & PALLIATIVE CARE (GIMAG HPC)
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR OF NURSING
Authorized Official - Prefix:
Authorized Official - First Name:OLUBUSAYO
Authorized Official - Middle Name:P
Authorized Official - Last Name:EKUNBOYEJO
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:925-273-7700
Mailing Address - Street 1:4049 1ST ST STE 135
Mailing Address - Street 2:
Mailing Address - City:LIVERMORE
Mailing Address - State:CA
Mailing Address - Zip Code:94551-4986
Mailing Address - Country:US
Mailing Address - Phone:925-273-7700
Mailing Address - Fax:925-273-7802
Practice Address - Street 1:4049 1ST ST STE 135
Practice Address - Street 2:
Practice Address - City:LIVERMORE
Practice Address - State:CA
Practice Address - Zip Code:94551-4986
Practice Address - Country:US
Practice Address - Phone:925-273-7700
Practice Address - Fax:925-273-7802
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-23
Last Update Date:2022-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based