Provider Demographics
NPI:1316305857
Name:ZION HOME HEALTH SERVICES LLC
Entity type:Organization
Organization Name:ZION HOME HEALTH SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:JEFFERSON
Authorized Official - Middle Name:
Authorized Official - Last Name:TUCKER
Authorized Official - Suffix:I
Authorized Official - Credentials:
Authorized Official - Phone:857-417-0899
Mailing Address - Street 1:527 PAWTUCKET BLVD UNIT 310
Mailing Address - Street 2:
Mailing Address - City:LOWELL
Mailing Address - State:MA
Mailing Address - Zip Code:01854-2043
Mailing Address - Country:US
Mailing Address - Phone:857-417-0899
Mailing Address - Fax:
Practice Address - Street 1:527 PAWTUCKET BLVD UNIT 310
Practice Address - Street 2:
Practice Address - City:LOWELL
Practice Address - State:MA
Practice Address - Zip Code:01854-2043
Practice Address - Country:US
Practice Address - Phone:857-417-0899
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-28
Last Update Date:2016-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health