Provider Demographics
NPI:1275916140
Name:ZEEARIES-HOME-CARE
Entity Type:Organization
Organization Name:ZEEARIES-HOME-CARE
Other - Org Name:ZEEARIES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:TIMIPA
Authorized Official - Middle Name:DOUYE
Authorized Official - Last Name:LAWAL
Authorized Official - Suffix:
Authorized Official - Credentials:OWNER
Authorized Official - Phone:469-279-3142
Mailing Address - Street 1:8639 HAWTHORNE ST
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75034-5633
Mailing Address - Country:US
Mailing Address - Phone:469-279-3142
Mailing Address - Fax:469-579-4059
Practice Address - Street 1:8639 HAWTHORNE ST
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75034-5633
Practice Address - Country:US
Practice Address - Phone:469-279-3142
Practice Address - Fax:469-579-4059
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ZEEARIES-HOME-CARE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-07-09
Last Update Date:2015-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX=========OtherIRS