Provider Demographics
NPI:1225493158
Name:ZELEE-ZERICK
Entity Type:Organization
Organization Name:ZELEE-ZERICK
Other - Org Name:ELPIS HOME SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ZERICK
Authorized Official - Middle Name:
Authorized Official - Last Name:ZELEE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-985-1724
Mailing Address - Street 1:3104 COWLEY WAY
Mailing Address - Street 2:APT. 3
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92117-6504
Mailing Address - Country:US
Mailing Address - Phone:310-985-1724
Mailing Address - Fax:
Practice Address - Street 1:3104 COWLEY WAY
Practice Address - Street 2:APT. 3
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92117-6504
Practice Address - Country:US
Practice Address - Phone:310-985-1724
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-18
Last Update Date:2015-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA201528010174253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care