Provider Demographics
NPI:1477649606
Name:ZION'S WAY, INC.
Entity Type:Organization
Organization Name:ZION'S WAY, INC.
Other - Org Name:ZION'S WAY HOSPICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHIRLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:BAGBY
Authorized Official - Suffix:
Authorized Official - Credentials:RN, BSN, CEO
Authorized Official - Phone:435-688-0648
Mailing Address - Street 1:912 W 1600 S
Mailing Address - Street 2:SUITE C-102
Mailing Address - City:ST GEORGE
Mailing Address - State:UT
Mailing Address - Zip Code:84770-7152
Mailing Address - Country:US
Mailing Address - Phone:435-688-0648
Mailing Address - Fax:435-688-0715
Practice Address - Street 1:912 W 1600 S
Practice Address - Street 2:SUITE C-102
Practice Address - City:ST GEORGE
Practice Address - State:UT
Practice Address - Zip Code:84770-7152
Practice Address - Country:US
Practice Address - Phone:435-688-0648
Practice Address - Fax:435-688-0715
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-05
Last Update Date:2011-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT2006-HOSPICE-72725251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
UT=========001Medicaid
UT=========001Medicaid