Provider Demographics
NPI:1215016779
Name:ZION MANAGEMENT HOLDINGS, LLC
Entity Type:Organization
Organization Name:ZION MANAGEMENT HOLDINGS, LLC
Other - Org Name:APEX HOME HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:EDITHA
Authorized Official - Middle Name:I
Authorized Official - Last Name:LOYOLA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-878-1549
Mailing Address - Street 1:1412 S JONES BLVD
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89146-1231
Mailing Address - Country:US
Mailing Address - Phone:702-878-1549
Mailing Address - Fax:702-878-1436
Practice Address - Street 1:1412 S JONES BLVD
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89146-1231
Practice Address - Country:US
Practice Address - Phone:702-878-1549
Practice Address - Fax:702-878-1436
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-03
Last Update Date:2018-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251E00000X
NV4877HHA-8251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV251E00000XMedicaid
NV297146Medicare Oscar/Certification
297146Medicare UPIN