Provider Demographics
NPI:1316211675
Name:ZENUX HEALTHCARE
Entity Type:Organization
Organization Name:ZENUX HEALTHCARE
Other - Org Name:ZENUX HEALTHCARE SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:FOLABI
Authorized Official - Middle Name:
Authorized Official - Last Name:LADIPO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:770-679-5218
Mailing Address - Street 1:2310 PARKLAKE DR NE STE 186
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30345-2915
Mailing Address - Country:US
Mailing Address - Phone:770-679-5218
Mailing Address - Fax:770-679-5219
Practice Address - Street 1:2310 PARKLAKE DR NE STE 186
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30345-2915
Practice Address - Country:US
Practice Address - Phone:770-679-5218
Practice Address - Fax:770-679-5219
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-05
Last Update Date:2021-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA122-R-1013251E00000X
251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health