Provider Demographics
NPI:1447073580
Name:ZION HOME CARE-LLC
Entity type:Organization
Organization Name:ZION HOME CARE-LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:MARCUS
Authorized Official - Middle Name:
Authorized Official - Last Name:ZARWEE
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:231-640-0471
Mailing Address - Street 1:3570 42ND ST S APT 101
Mailing Address - Street 2:
Mailing Address - City:FARGO
Mailing Address - State:ND
Mailing Address - Zip Code:58104-6959
Mailing Address - Country:US
Mailing Address - Phone:231-640-0471
Mailing Address - Fax:
Practice Address - Street 1:3570 42ND ST S APT 101
Practice Address - Street 2:
Practice Address - City:FARGO
Practice Address - State:ND
Practice Address - Zip Code:58104-6959
Practice Address - Country:US
Practice Address - Phone:231-640-0471
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-06
Last Update Date:2024-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care