Healthcare Provider Details

I. General information

NPI: 1356986590
Provider Name (Legal Business Name): ZILL HOLDING INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/12/2019
Last Update Date: 06/05/2024
Certification Date: 06/05/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

415 WOODLINE DR STE 1A
SPRING TX
77386-1977
US

IV. Provider business mailing address

415 WOODLINE DRIVE
SPRING TX
77386
US

V. Phone/Fax

Practice location:
  • Phone: 832-289-9514
  • Fax: 281-528-4099
Mailing address:
  • Phone: 832-289-9514
  • Fax: 281-528-4099

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code315D00000X
TaxonomyInpatient Hospice
License Number
License Number State

VIII. Authorized Official

Name: SAIRA INAYATALI
Title or Position: CFO
Credential:
Phone: 832-289-9514