Provider Demographics
NPI:1366072670
Name:ZION HOME CARE LLC
Entity type:Organization
Organization Name:ZION HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ CEO
Authorized Official - Prefix:
Authorized Official - First Name:HTET
Authorized Official - Middle Name:NAING
Authorized Official - Last Name:LIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:651-239-7249
Mailing Address - Street 1:1953 LEE ST
Mailing Address - Street 2:
Mailing Address - City:MAPLEWOOD
Mailing Address - State:MN
Mailing Address - Zip Code:55117-2232
Mailing Address - Country:US
Mailing Address - Phone:651-239-7249
Mailing Address - Fax:
Practice Address - Street 1:906 E MADISON AVE
Practice Address - Street 2:
Practice Address - City:DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50313-3727
Practice Address - Country:US
Practice Address - Phone:651-239-7249
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-26
Last Update Date:2020-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care