Healthcare Provider Details

I. General information

NPI: 1821736778
Provider Name (Legal Business Name): ZOYA LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/20/2022
Last Update Date: 05/20/2023
Certification Date: 05/20/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3250 AIRPORT WAY S
SEATTLE WA
98134-2167
US

IV. Provider business mailing address

13320 SE 224TH PL
KENT WA
98042-3297
US

V. Phone/Fax

Practice location:
  • Phone: 206-787-0814
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code3140N1450X
TaxonomyPediatric Skilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: HAYAT OMER
Title or Position: CEO
Credential:
Phone: 206-787-0814