Provider Demographics
NPI:1699596874
Name:ZOMACARE LLC
Entity type:Organization
Organization Name:ZOMACARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:FURAT
Authorized Official - Middle Name:J
Authorized Official - Last Name:ZOMA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:586-914-0649
Mailing Address - Street 1:3013 DEBRA CT
Mailing Address - Street 2:
Mailing Address - City:AUBURN HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48326-2043
Mailing Address - Country:US
Mailing Address - Phone:586-914-0649
Mailing Address - Fax:
Practice Address - Street 1:2888 E LONG LAKE RD STE 145
Practice Address - Street 2:
Practice Address - City:TROY
Practice Address - State:MI
Practice Address - Zip Code:48085-7010
Practice Address - Country:US
Practice Address - Phone:248-385-3578
Practice Address - Fax:248-963-0956
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-21
Last Update Date:2024-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No347C00000XTransportation ServicesPrivate Vehicle