Healthcare Provider Details

I. General information

NPI: 1750295820
Provider Name (Legal Business Name): ZADKEILCARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/28/2026
Last Update Date: 09/28/2026
Certification Date: 09/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13910 SAGEWOOD TRCE
MIDLOTHIAN VA
23112-4222
US

IV. Provider business mailing address

13910 SAGEWOOD TRCE
MIDLOTHIAN VA
23112-4222
US

V. Phone/Fax

Practice location:
  • Phone: 301-466-6180
  • Fax: 301-466-6180
Mailing address:
  • Phone: 301-466-6180
  • Fax: 301-466-6180

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: OGBUWA OKIDI
Title or Position: OWNER
Credential: PHD
Phone: 301-466-6180