Provider Demographics
NPI:1053048678
Name:ZION CARE GIVER, LLC
Entity type:Organization
Organization Name:ZION CARE GIVER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SALOME
Authorized Official - Middle Name:
Authorized Official - Last Name:ANYIASONG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:857-417-6396
Mailing Address - Street 1:169 STUART AVE
Mailing Address - Street 2:
Mailing Address - City:LEOMINISTER
Mailing Address - State:MA
Mailing Address - Zip Code:01453
Mailing Address - Country:US
Mailing Address - Phone:857-417-6396
Mailing Address - Fax:
Practice Address - Street 1:169 STUART AVE
Practice Address - Street 2:
Practice Address - City:LEOMINISTER
Practice Address - State:MA
Practice Address - Zip Code:01453
Practice Address - Country:US
Practice Address - Phone:857-417-6396
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-03
Last Update Date:2022-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health