Healthcare Provider Details

I. General information

NPI: 1427821594
Provider Name (Legal Business Name): MR. LEON ZERO BOTE
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: JANELLE LYNN CHADWICK

II. Dates (important events)

Enumeration Date: 11/01/2023
Last Update Date: 09/02/2025
Certification Date: 09/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3570 GOODPASTURE LOOP APT 105
EUGENE OR
97401-1620
US

IV. Provider business mailing address

3570 GOODPASTURE LOOP APT 105
EUGENE OR
97401-1620
US

V. Phone/Fax

Practice location:
  • Phone: 440-269-9779
  • Fax:
Mailing address:
  • Phone: 440-269-9779
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: