MEDICARE: ZION CARE LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	174200000X	Meals Provider
2	251G00000X	Community Based Hospice Care Agency
3	253Z00000X	In Home Supportive Care Agency
4	261QD1600X	Developmental Disabilities Clinic/Center
5	385HR2055X	Child Mental Illness Respite Care
6	385HR2065X	Child Physical Disabilities Respite Care
7	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1346072204
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ZION CARE LLC

Provider Business Mailing Address
First Line	:	1104 JEFFERSON PL
Second Line	:
City	:	BELLINGHAM
State	:	MA
Zip	:	02019-1368
Country	:	US
Telephone Number	:	702-960-8706
Fax Number	:

Provider Business Practice Location Address
First Line	:	1104 JEFFERSON PL
Second Line	:
City	:	BELLINGHAM
State	:	MA
Zip	:	02019-1368
Country	:	US
Telephone Number	:	702-960-8706
Fax Number	:

Authorized Official
Title or Position	:	OWNER/CAREGIVER
Name	:	JAMESETTA KAIDDY MILLER
Credential	:	CNA
Telephone Number	:	702-960-8706

Provider Enumeration Date	:	08/19/2024
Last Update Date	:	08/19/2024

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Directions to “ZION CARE LLC ” Practice Location

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