Healthcare Provider Details

I. General information

NPI: 1588509061
Provider Name (Legal Business Name): ZENVORA HOME HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/21/2026
Last Update Date: 04/21/2026
Certification Date: 04/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8252 PINEY ORCH
BLACKLICK OH
43004-8691
US

IV. Provider business mailing address

8252 PINEY ORCH
BLACKLICK OH
43004-8691
US

V. Phone/Fax

Practice location:
  • Phone: 614-706-3009
  • Fax:
Mailing address:
  • Phone: 614-706-3009
  • Fax:

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: ABDIQADIR MOHAMED WEYRAH
Title or Position: ADMIN
Credential:
Phone: 614-706-3009