Healthcare Provider Details

I. General information

NPI: 1124827712
Provider Name (Legal Business Name): ZOE CARES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/07/2025
Last Update Date: 03/07/2025
Certification Date: 03/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17524 E WESLEY PL
AURORA CO
80013-4174
US

IV. Provider business mailing address

17524 E WESLEY PL
AURORA CO
80013-4174
US

V. Phone/Fax

Practice location:
  • Phone: 303-214-8761
  • Fax:
Mailing address:
  • Phone: 303-214-8761
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code320900000X
TaxonomyIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: RAHWA WOLDEMARIAM
Title or Position: DIRECTOR/OWNER
Credential:
Phone: 303-214-8761