Provider Demographics
NPI:1053299396
Name:DEANGELIS, ZAVIER
Entity type:Individual
Prefix:
First Name:ZAVIER
Middle Name:
Last Name:DEANGELIS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5768 TEMPO TRL
Mailing Address - Street 2:
Mailing Address - City:NEW FRANKLIN
Mailing Address - State:OH
Mailing Address - Zip Code:44216-9306
Mailing Address - Country:US
Mailing Address - Phone:330-601-9837
Mailing Address - Fax:
Practice Address - Street 1:5768 TEMPO TRL
Practice Address - Street 2:
Practice Address - City:NEW FRANKLIN
Practice Address - State:OH
Practice Address - Zip Code:44216-9306
Practice Address - Country:US
Practice Address - Phone:330-601-9837
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-25
Last Update Date:2025-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372600000XNursing Service Related ProvidersAdult Companion