MEDICARE: ZION HOME HEALTH CARE SERVICES

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

General Provider Information

NPI Number	:	1871942284
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ZION HOME HEALTH CARE SERVICES

Provider Business Mailing Address
First Line	:	124 RIVERWALK WAY
Second Line	:
City	:	CLIFTON
State	:	NJ
Zip	:	07014-1728
Country	:	US
Telephone Number	:	856-426-9520
Fax Number	:

Provider Business Practice Location Address
First Line	:	404 CLIFTON AVE
Second Line	:
City	:	CLIFTON
State	:	NJ
Zip	:	07011-2614
Country	:	US
Telephone Number	:	856-426-9520
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	ABIOLA MUSTAFA
Credential	:
Telephone Number	:	856-426-9520

Provider Enumeration Date	:	06/07/2016
Last Update Date	:	06/07/2016

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Directions to “ZION HOME HEALTH CARE SERVICES ” Practice Location

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