Healthcare Provider Details

I. General information

NPI: 1821174673
Provider Name (Legal Business Name): ZIMAC CARE CENTER,INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/27/2006
Last Update Date: 02/19/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10101 FONDREN RD STE 136
HOUSTON TX
77096-4507
US

IV. Provider business mailing address

9898 BISSONNET ST
HOUSTON TX
77036-8270
US

V. Phone/Fax

Practice location:
  • Phone: 713-272-7004
  • Fax: 713-777-1945
Mailing address:
  • Phone: 713-272-7004
  • Fax: 713-777-1945

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code320900000X
TaxonomyIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: DR. LUCIUS U AKUCHIE
Title or Position: CEO
Credential: PHD
Phone: 713-240-7037