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NPI Code Detail

MEDICARE: ZION COMPASSION CARE, LLC

MEDICARE: ZION COMPASSION CARE, 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
1251E00000XHome Health Agency
2320600000XIntellectual and/or Developmental Disabilities Residential Treatment Facility
3253Z00000XIn Home Supportive Care Agency
4385H00000XRespite Care
5101YA0400XAddiction (Substance Use Disorder) Counselor
6251C00000XDevelopmentally Disabled Services Day Training Agency

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1106233OTHERAZAHCCCS
2660047OTHERAZAHCCCS

General Provider Information

NPI Number : 1922514793
Entity Type Code : Organization
Provider Name (Legal Business Name) : ZION COMPASSION CARE, LLC
Provider Business Mailing Address
First Line : 55 S MCQUEEN RD
Second Line :
City : GILBERT
State : AZ
Zip : 85233-5502
Country : US
Telephone Number : 480-233-2099
Fax Number :
Provider Business Practice Location Address
First Line : 55 S MCQUEEN RD
Second Line :
City : GILBERT
State : AZ
Zip : 85233-5502
Country : US
Telephone Number : 480-233-2099
Fax Number : 480-813-3606
Authorized Official
Title or Position : CEO
Name : ENOCK ASAMOAH GYAU
Credential :
Telephone Number : 480-233-2099
Provider Enumeration Date : 12/15/2017
Last Update Date : 03/03/2026

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Directions to “ZION COMPASSION CARE, LLC ” Practice Location

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