Provider Demographics
NPI:1114728722
Name:GINTO HOME HEALTH LLC
Entity type:Organization
Organization Name:GINTO HOME HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:JOAN CHERRYL
Authorized Official - Middle Name:BAUTISTA
Authorized Official - Last Name:GAVIERES
Authorized Official - Suffix:
Authorized Official - Credentials:RN, CLS
Authorized Official - Phone:209-905-4599
Mailing Address - Street 1:37242 RICO COMMON
Mailing Address - Street 2:APARTMENT 1042
Mailing Address - City:FREMONT
Mailing Address - State:CA
Mailing Address - Zip Code:94536-5361
Mailing Address - Country:US
Mailing Address - Phone:209-905-4599
Mailing Address - Fax:
Practice Address - Street 1:41829 ALBRAE ST STE 217
Practice Address - Street 2:
Practice Address - City:FREMONT
Practice Address - State:CA
Practice Address - Zip Code:94538-3144
Practice Address - Country:US
Practice Address - Phone:209-905-4599
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-20
Last Update Date:2025-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health