Provider Demographics
NPI:1376035550
Name:ZENITH LIVING SERVICES
Entity Type:Organization
Organization Name:ZENITH LIVING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BUSAYO
Authorized Official - Middle Name:BOSE
Authorized Official - Last Name:OBIGBESAN
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:303-902-3512
Mailing Address - Street 1:429 N IRVINGTON ST
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80018-1676
Mailing Address - Country:US
Mailing Address - Phone:303-902-3512
Mailing Address - Fax:
Practice Address - Street 1:10170 E MISSISSIPPI AVE
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80247-2418
Practice Address - Country:US
Practice Address - Phone:303-902-3512
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-04
Last Update Date:2018-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1638688163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163W00000XNursing Service ProvidersRegistered NurseGroup - Multi-Specialty