Healthcare Provider Details

I. General information

NPI: 1487439881
Provider Name (Legal Business Name): ZENTAI HEALTHCARE,LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/25/2023
Last Update Date: 12/19/2025
Certification Date: 12/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15182 N 75TH AVE STE 180
PEORIA AZ
85381-4722
US

IV. Provider business mailing address

500 N ESTRELLA PKWY # B-412
GOODYEAR AZ
85338-4135
US

V. Phone/Fax

Practice location:
  • Phone: 602-425-6069
  • Fax: 602-835-4932
Mailing address:
  • Phone: 602-428-3474
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ROSA H DEL AGUILA PINEDA
Title or Position: NURSE PRACTITIONER
Credential: FNP-BC
Phone: 602-425-6069