Healthcare Provider Details
I. General information
NPI: 1770398950
Provider Name (Legal Business Name): ZB'S ANGELS VISITING HEALTHCARE SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/12/2025
Last Update Date: 03/22/2025
Certification Date: 03/22/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
836 E 143RD ST
CLEVELAND OH
44110-3414
US
IV. Provider business mailing address
1284 SOM CTR RD. PMB: 311
MAYFIELD HEIGHTS OH
44124-3414
US
V. Phone/Fax
- Phone: 216-333-5133
- Fax:
- Phone: 216-333-5133
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | |
| License Number State | NULL |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 163WH0200X |
| Taxonomy | Home Health Registered Nurse |
| License Number | |
| License Number State | NULL |
VIII. Authorized Official
Name:
ADJONI
WILLIAMS
Title or Position: CEO, DOO
Credential: MPH
Phone: 216-333-5133