Healthcare Provider Details

I. General information

NPI: 1295576619
Provider Name (Legal Business Name): ZION'S CAREGIVERS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/03/2024
Last Update Date: 06/03/2024
Certification Date: 06/02/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3249 JABER DR
AKRON OH
44312-3634
US

IV. Provider business mailing address

3249 JABER DR
AKRON OH
44312-3634
US

V. Phone/Fax

Practice location:
  • Phone: 330-354-7957
  • Fax:
Mailing address:
  • Phone: 330-354-7957
  • 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 Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: MR. LANCE DORTCH
Title or Position: DOO
Credential: MD
Phone: 678-427-1729