Healthcare Provider Details

I. General information

NPI: 1730014846
Provider Name (Legal Business Name): ZOECARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/17/2026
Last Update Date: 06/17/2026
Certification Date: 06/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

915 BRIDGE ST STE 121
WINSTON SALEM NC
27101-1198
US

IV. Provider business mailing address

915 BRIDGE ST STE 121
WINSTON SALEM NC
27101-1198
US

V. Phone/Fax

Practice location:
  • Phone: 336-283-7547
  • Fax:
Mailing address:
  • Phone: 336-283-7547
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. KHALIFAT HARRIS
Title or Position: BUSINESS ADMINISTRATOR
Credential:
Phone: 336-283-7547