Provider Demographics
NPI:1679894141
Name:ZAREPHATH INC.
Entity type:Organization
Organization Name:ZAREPHATH INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:C.E.O.
Authorized Official - Prefix:
Authorized Official - First Name:SIMCHA
Authorized Official - Middle Name:
Authorized Official - Last Name:FELLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:347-668-0449
Mailing Address - Street 1:4856 E. BASELINE ROAD
Mailing Address - Street 2:SUITE 104
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85206-4635
Mailing Address - Country:US
Mailing Address - Phone:480-518-6826
Mailing Address - Fax:480-361-9144
Practice Address - Street 1:2194 W PAINTED SUNSET CIR
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85745-7032
Practice Address - Country:US
Practice Address - Phone:480-518-6826
Practice Address - Fax:480-361-9144
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-18
Last Update Date:2024-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZBH-3618385HR2055X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385HR2055XRespite Care FacilityRespite CareRespite Care, Mental Illness, Child
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZBH-3618OtherLICENSE