Healthcare Provider Details

I. General information

NPI: 1447528963
Provider Name (Legal Business Name): ZATARZ SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/12/2011
Last Update Date: 02/14/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5327 WOLFPEN RIDGE LN
MISSOURI CITY TX
77459-3580
US

IV. Provider business mailing address

5327 WOLFPEN RIDGE LN
MISSOURI CITY TX
77459-3580
US

V. Phone/Fax

Practice location:
  • Phone: 281-302-9044
  • Fax:
Mailing address:
  • Phone: 281-302-9044
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. AMATARE ALPHONSUS DORGU
Title or Position: OWNER
Credential: MS
Phone: 860-324-8730