Healthcare Provider Details

I. General information

NPI: 1497086359
Provider Name (Legal Business Name): AMIE MARCHINI GERONTOLOGIST, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/15/2010
Last Update Date: 06/10/2024
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1468 EAST 27TH STREET
MERCED CA
95340
US

IV. Provider business mailing address

3144 G ST # 125-329
MERCED CA
95340-1300
US

V. Phone/Fax

Practice location:
  • Phone: 209-384-3300
  • Fax: 209-384-3360
Mailing address:
  • Phone: 209-384-3300
  • Fax: 209-384-3360

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State

VIII. Authorized Official

Name: AMIE MARCHINI
Title or Position: CEO
Credential:
Phone: 209-384-3300