Provider Demographics
NPI:1033658208
Name:ZAWADI USA LLC
Entity Type:Organization
Organization Name:ZAWADI USA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER/ DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:MUTHIANI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:616-516-0614
Mailing Address - Street 1:4620 RESTMOR ST SW
Mailing Address - Street 2:
Mailing Address - City:GRANDVILLE
Mailing Address - State:MI
Mailing Address - Zip Code:49418-2235
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4793 MILLHAVEN DR SE
Practice Address - Street 2:
Practice Address - City:KENTWOOD
Practice Address - State:MI
Practice Address - Zip Code:49548-4386
Practice Address - Country:US
Practice Address - Phone:616-516-0614
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-21
Last Update Date:2017-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIAS410377896311ZA0620X
MIAS410366922311ZA0620X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home