Healthcare Provider Details

I. General information

NPI: 1780557637
Provider Name (Legal Business Name): ZION HOME HEALTH AGENCY CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/26/2025
Last Update Date: 09/26/2025
Certification Date: 09/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8600 NW SOUTH RIVER DR STE 232
MEDLEY FL
33166-7405
US

IV. Provider business mailing address

8600 NW SOUTH RIVER DR STE 232
MEDLEY FL
33166-7405
US

V. Phone/Fax

Practice location:
  • Phone: 833-324-3213
  • Fax:
Mailing address:
  • Phone: 833-324-3213
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State

VIII. Authorized Official

Name: KENIA LEON
Title or Position: OWNER
Credential: HHA
Phone: 786-285-1950