Provider Demographics
NPI:1073102786
Name:ZORA'S CRADLE, LLC
Entity Type:Organization
Organization Name:ZORA'S CRADLE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:SHEMIKA
Authorized Official - Middle Name:
Authorized Official - Last Name:WHITESIDE
Authorized Official - Suffix:
Authorized Official - Credentials:MSSW, CSW
Authorized Official - Phone:502-830-9460
Mailing Address - Street 1:6844 BARDSTOWN RD # 838
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40291-3050
Mailing Address - Country:US
Mailing Address - Phone:502-830-9460
Mailing Address - Fax:
Practice Address - Street 1:6844 BARDSTOWN RD # 838
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40291-3050
Practice Address - Country:US
Practice Address - Phone:502-830-9460
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-16
Last Update Date:2021-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes177F00000XOther Service ProvidersLodging
No251B00000XAgenciesCase Management
No251S00000XAgenciesCommunity/Behavioral Health