Healthcare Provider Details

I. General information

NPI: 1730813411
Provider Name (Legal Business Name): ZION HEALTH HOMES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/11/2022
Last Update Date: 07/11/2022
Certification Date: 07/09/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2663 E OMEGA DR
SAN TAN VALLEY AZ
85143-4625
US

IV. Provider business mailing address

2663 E OMEGA DR
SAN TAN VALLEY AZ
85143-4625
US

V. Phone/Fax

Practice location:
  • Phone: 480-687-2841
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: SAMUEL NJOROGE
Title or Position: ADMINISTRATOR
Credential:
Phone: 832-486-7198