MEDICARE: ZENITH CARE GROUP LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1023549250
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ZENITH CARE GROUP LLC

Provider Business Mailing Address
First Line	:	2831 BUSINESS PARK CT STE 110
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89128-9000
Country	:	US
Telephone Number	:	725-600-3597
Fax Number	:	725-223-4688

Provider Business Practice Location Address
First Line	:	2831 BUSINESS PARK CT STE 110
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89128-9000
Country	:	US
Telephone Number	:	775-232-2907
Fax Number	:	702-920-8119

Authorized Official
Title or Position	:	CLINICAL PHARMACIST/MANAGER
Name	:	FRANCISCA AKOH
Credential	:	PHARM.D.
Telephone Number	:	775-232-2907

Provider Enumeration Date	:	03/21/2017
Last Update Date	:	07/15/2020

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Directions to “ZENITH CARE GROUP LLC ” Practice Location

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