MEDICARE: ZION MANAGEMENT HOLDINGS, 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	251E00000X	Home Health Agency
2	251E00000X	Home Health Agency	4877HHA-8	NV

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1215016779
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ZION MANAGEMENT HOLDINGS, LLC

Provider Business Mailing Address
First Line	:	1412 S JONES BLVD
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89146-1231
Country	:	US
Telephone Number	:	702-878-1549
Fax Number	:	702-878-1436

Provider Business Practice Location Address
First Line	:	1412 S JONES BLVD
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89146-1231
Country	:	US
Telephone Number	:	702-878-1549
Fax Number	:	702-878-1436

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	EDITHA I LOYOLA
Credential	:
Telephone Number	:	702-878-1549

Provider Enumeration Date	:	11/03/2006
Last Update Date	:	12/07/2018

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