MEDICARE: ZGB INVESTMENTS 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	343900000X	Non-emergency Medical Transport (VAN)

General Provider Information

NPI Number	:	1811666910
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ZGB INVESTMENTS LLC

Provider Business Mailing Address
First Line	:	PO BOX 101181
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80250-1181
Country	:	US
Telephone Number	:	303-669-6666
Fax Number	:

Provider Business Practice Location Address
First Line	:	3634 CITADEL DR N UNIT C
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80909-5312
Country	:	US
Telephone Number	:	303-669-6666
Fax Number	:

Authorized Official
Title or Position	:	OWNER/DRIVER
Name	:	LOUIE IBRAHIM ZAGHAB
Credential	:
Telephone Number	:	303-669-6666

Provider Enumeration Date	:	09/10/2021
Last Update Date	:	09/10/2021

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