Provider Demographics
NPI:1235921388
Name:ZIENNAS HOME CARE ASSISTED LIVING LLC
Entity type:Organization
Organization Name:ZIENNAS HOME CARE ASSISTED LIVING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ZIENNA
Authorized Official - Middle Name:ONA
Authorized Official - Last Name:ENDICOTT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-242-7398
Mailing Address - Street 1:1171 S SEAN DR
Mailing Address - Street 2:
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85286-6446
Mailing Address - Country:US
Mailing Address - Phone:480-242-7398
Mailing Address - Fax:
Practice Address - Street 1:11510 E UTOPIA AVE
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85212-6613
Practice Address - Country:US
Practice Address - Phone:480-242-7398
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-22
Last Update Date:2025-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home