Healthcare Provider Details

I. General information

NPI: 1235634346
Provider Name (Legal Business Name): ZIA HEALTHCARE SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/29/2018
Last Update Date: 03/15/2022
Certification Date: 03/15/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

168 HOSPITAL DR
RATON NM
87740
US

IV. Provider business mailing address

168 HOSPITAL DR
RATON NM
87740-2002
US

V. Phone/Fax

Practice location:
  • Phone: 575-445-5563
  • Fax: 575-445-8929
Mailing address:
  • Phone: 505-445-0276
  • Fax: 505-445-0284

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: DR. MISBAH DARWEESH ZMILY
Title or Position: CEO
Credential: MD
Phone: 575-445-5563