Provider Demographics
NPI:1811691256
Name:GERIATRIX CARE
Entity type:Organization
Organization Name:GERIATRIX CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MOHAMED
Authorized Official - Middle Name:
Authorized Official - Last Name:MAQBOOL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:925-395-8070
Mailing Address - Street 1:4746 CLAYTON RD FL 2
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:CA
Mailing Address - Zip Code:94521-2939
Mailing Address - Country:US
Mailing Address - Phone:925-395-8070
Mailing Address - Fax:
Practice Address - Street 1:4101 DUBLIN BLVD STE F-423
Practice Address - Street 2:
Practice Address - City:DUBLIN
Practice Address - State:CA
Practice Address - Zip Code:94568-4592
Practice Address - Country:US
Practice Address - Phone:925-395-8070
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:GREEN LEAF VENTURE CAPITAL
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-03-29
Last Update Date:2023-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health