Healthcare Provider Details

I. General information

NPI: 1619422482
Provider Name (Legal Business Name): ZESTY ENTERPRISES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/22/2016
Last Update Date: 06/04/2026
Certification Date: 06/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2345 S FEDERAL BLVD STE 111
DENVER CO
80219-5473
US

IV. Provider business mailing address

2345 S FEDERAL BLVD STE 111
DENVER CO
80219-5473
US

V. Phone/Fax

Practice location:
  • Phone: 720-254-6984
  • Fax: 720-645-2143
Mailing address:
  • Phone: 720-984-9960
  • Fax: 720-645-2143

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code385HR2060X
TaxonomyChild Intellectual and/or Developmental Disabilities Respite Care
License Number
License Number StateCO
# 3
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number StateCO
# 4
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number StateCO

VIII. Authorized Official

Name: THOMAS CUNNINGHAM
Title or Position: COO
Credential:
Phone: 720-984-9960