Provider Demographics
NPI:1346072204
Name:ZION CARE LLC
Entity type:Organization
Organization Name:ZION CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CAREGIVER
Authorized Official - Prefix:
Authorized Official - First Name:JAMESETTA
Authorized Official - Middle Name:KAIDDY
Authorized Official - Last Name:MILLER
Authorized Official - Suffix:
Authorized Official - Credentials:CNA
Authorized Official - Phone:702-960-8706
Mailing Address - Street 1:1104 JEFFERSON PL
Mailing Address - Street 2:
Mailing Address - City:BELLINGHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02019-1368
Mailing Address - Country:US
Mailing Address - Phone:702-960-8706
Mailing Address - Fax:
Practice Address - Street 1:1104 JEFFERSON PL
Practice Address - Street 2:
Practice Address - City:BELLINGHAM
Practice Address - State:MA
Practice Address - Zip Code:02019-1368
Practice Address - Country:US
Practice Address - Phone:702-960-8706
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-19
Last Update Date:2024-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No174200000XOther Service ProvidersMeals
No251G00000XAgenciesHospice Care, Community Based
No253Z00000XAgenciesIn Home Supportive Care
No261QD1600XAmbulatory Health Care FacilitiesClinic/CenterDevelopmental Disabilities
No385HR2055XRespite Care FacilityRespite CareRespite Care, Mental Illness, Child
No385HR2065XRespite Care FacilityRespite CareRespite Care, Physical Disabilities, Child