Provider Demographics
NPI:1699549899
Name:ZION HOME HEALTH
Entity type:Organization
Organization Name:ZION HOME HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:OLUCHI
Authorized Official - Middle Name:EZINWA
Authorized Official - Last Name:IBEAWUCHI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-349-2509
Mailing Address - Street 1:669 MILLERS MARK AVE
Mailing Address - Street 2:
Mailing Address - City:WAKE FOREST
Mailing Address - State:NC
Mailing Address - Zip Code:27587-7059
Mailing Address - Country:US
Mailing Address - Phone:919-349-2509
Mailing Address - Fax:
Practice Address - Street 1:669 MILLERS MARK AVE
Practice Address - Street 2:
Practice Address - City:WAKE FOREST
Practice Address - State:NC
Practice Address - Zip Code:27587-7059
Practice Address - Country:US
Practice Address - Phone:919-349-2509
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-08
Last Update Date:2023-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care