Provider Demographics
NPI:1548838261
Name:ZIPPY CARE LLC
Entity type:Organization
Organization Name:ZIPPY CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:
Authorized Official - Last Name:ODOFIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:929-855-0686
Mailing Address - Street 1:PO BOX 31692
Mailing Address - Street 2:
Mailing Address - City:GWYNN OAK
Mailing Address - State:MD
Mailing Address - Zip Code:21207-8692
Mailing Address - Country:US
Mailing Address - Phone:667-351-1853
Mailing Address - Fax:
Practice Address - Street 1:3402 AURORA LN APT H
Practice Address - Street 2:
Practice Address - City:GWYNN OAK
Practice Address - State:MD
Practice Address - Zip Code:21207-5742
Practice Address - Country:US
Practice Address - Phone:929-855-0686
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-17
Last Update Date:2023-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome Health
No3104A0630XNursing & Custodial Care FacilitiesAssisted Living FacilityAssisted Living, Behavioral Disturbances