MEDICARE: ZESTE HOME HEALTHCARE 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	253Z00000X	In Home Supportive Care Agency
2	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1033671714
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ZESTE HOME HEALTHCARE LLC

Provider Business Mailing Address
First Line	:	1419 W. 24TH ST. STE D
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77008-1615
Country	:	US
Telephone Number	:	832-440-2197
Fax Number	:

Provider Business Practice Location Address
First Line	:	1419 W 24TH ST STE D
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77008-1615
Country	:	US
Telephone Number	:	832-440-2197
Fax Number	:

Authorized Official
Title or Position	:	AO
Name	:	CLEMENTE ESCARILLO LOGRONIO JR.
Credential	:	RN
Telephone Number	:	832-440-2197

Provider Enumeration Date	:	04/02/2019
Last Update Date	:	03/12/2026

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Directions to “ZESTE HOME HEALTHCARE LLC ” Practice Location

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