Healthcare Provider Details

I. General information

NPI: 1336965664
Provider Name (Legal Business Name): DALENNA ZINGALIS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/02/2024
Last Update Date: 12/02/2024
Certification Date: 12/02/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4110 MAPLECREST AVE
PARMA OH
44134-3522
US

IV. Provider business mailing address

4110 MAPLECREST AVE
PARMA OH
44134-3522
US

V. Phone/Fax

Practice location:
  • Phone: 216-799-4396
  • Fax: 216-799-4396
Mailing address:
  • Phone: 216-799-4396
  • Fax: 216-799-4396

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code385HR2060X
TaxonomyChild Intellectual and/or Developmental Disabilities Respite Care
License Number
License Number StateNULL
# 4
Primary TaxonomyN
Taxonomy Code172A00000X
TaxonomyDriver
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: