Provider Demographics
NPI:1073396883
Name:ZEPHYR HEALTH PLUS LLC
Entity Type:Organization
Organization Name:ZEPHYR HEALTH PLUS LLC
Other - Org Name:ZEPHYR HEALTH PLUS
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:OLUYEMI
Authorized Official - Middle Name:ABOSEDE
Authorized Official - Last Name:BAWA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:134-755-2736
Mailing Address - Street 1:6601 W PLANO PKWY APT 1626
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75093-8873
Mailing Address - Country:US
Mailing Address - Phone:469-466-5030
Mailing Address - Fax:
Practice Address - Street 1:6601 W PLANO PKWY APT 1626
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093-8873
Practice Address - Country:US
Practice Address - Phone:469-466-5030
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-15
Last Update Date:2023-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Multi-Specialty
No253Z00000XAgenciesIn Home Supportive Care