Gimag Transitional Care

Primary specialty

Pediatric Skilled Nursing FacilityTaxonomy code 3140N1450X

Legal business name

GIMAG TRANSITIONAL CARE

Doing business as

Manley House

Practice address

1280 Manley Dr
Tracy, CA 95377-8808

Phone

(510) 435-4946

NPI assigned

Mar 21, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Olubusayo P Ekunboyejo

Title

Coo

Phone

(510) 435-4946

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Manley House Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1647820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647820800000",
    "number": "1245989805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "704 W REDLANDS AVE",
            "city": "MOUNTAIN HOUSE",
            "state": "CA",
            "postal_code": "953911203",
            "telephone_number": "510-435-4946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1280 MANLEY DR",
            "city": "TRACY",
            "state": "CA",
            "postal_code": "953778808",
            "telephone_number": "510-435-4946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GIMAG TRANSITIONAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-21",
        "last_updated": "2022-03-21",
        "certification_date": "2022-03-21",
        "status": "A",
        "authorized_official_last_name": "EKUNBOYEJO",
        "authorized_official_first_name": "OLUBUSAYO",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "510-435-4946"
    },
    "taxonomies": [
        {
            "code": "3140N1450X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility, Nursing Care, Pediatric",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRIVATE INSURANCE, WORKERS COMPENSATION AND PRIVATE",
            "identifier": "0000000",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Manley House",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gagandeep S Gill, PHARMD
• Kulwinder Gill
• Sukhdial Singh Gill, RPH
• Sundeep Gill
• Rebecca Renae Gilmore
• Natalie Giragosian
• Sabrina Glow
• Eric H Gnesa
• Yescenia Godinez
• Yvonne Godoy

• Pediatric Skilled Nursing Facility in Tracy, CA
• Providers in Tracy, CA by specialty
• Pediatric Skilled Nursing Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.