Healthcare Provider Details

I. General information

NPI: 1497397749
Provider Name (Legal Business Name): ZAPHIRO HOME HEALTH, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/08/2019
Last Update Date: 07/18/2023
Certification Date: 07/18/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1880 S DAIRY ASHFORD RD STE 356
HOUSTON TX
77077-4874
US

IV. Provider business mailing address

1880 S DAIRY ASHFORD RD STE 356
HOUSTON TX
77077-4874
US

V. Phone/Fax

Practice location:
  • Phone: 713-909-6864
  • Fax: 346-571-5964
Mailing address:
  • Phone: 713-909-6864
  • Fax: 346-571-5964

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: DEYVIS CAMEJO BUSTO
Title or Position: OWNER/TREASURER
Credential:
Phone: 713-909-6864