Healthcare Provider Details

I. General information

NPI: 1942053020
Provider Name (Legal Business Name): ZINTEL CREEK ADULT FAMILY HOME LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/09/2024
Last Update Date: 04/09/2024
Certification Date: 04/09/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2300 W 21ST AVE
KENNEWICK WA
99337-2821
US

IV. Provider business mailing address

2300 W 21ST AVE
KENNEWICK WA
99337-2821
US

V. Phone/Fax

Practice location:
  • Phone: 509-883-0880
  • Fax: 888-506-5331
Mailing address:
  • Phone: 509-883-0880
  • Fax: 888-506-5331

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code311ZA0620X
TaxonomyAdult Care Home Facility
License Number
License Number State

VIII. Authorized Official

Name: VEERPAL KAUR
Title or Position: OWNER
Credential: ARNP
Phone: 425-770-0425