Provider Demographics
NPI:1932392610
Name:ZELANO HEALTHCARE LLC
Entity type:Organization
Organization Name:ZELANO HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:LARRY
Authorized Official - Middle Name:OMO
Authorized Official - Last Name:IMOEKER
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:214-334-0625
Mailing Address - Street 1:2302 POST OAK DR
Mailing Address - Street 2:
Mailing Address - City:CORINTH
Mailing Address - State:TX
Mailing Address - Zip Code:76210-3027
Mailing Address - Country:US
Mailing Address - Phone:940-498-1524
Mailing Address - Fax:940-498-1525
Practice Address - Street 1:2302 POST OAK DR
Practice Address - Street 2:
Practice Address - City:CORINTH
Practice Address - State:TX
Practice Address - Zip Code:76210-3027
Practice Address - Country:US
Practice Address - Phone:940-498-1524
Practice Address - Fax:940-498-1525
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-24
Last Update Date:2024-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251J00000XAgenciesNursing Care
No253Z00000XAgenciesIn Home Supportive Care
No385H00000XRespite Care FacilityRespite Care