Provider Demographics
NPI:1578067070
Name:ZUMEKO HOME HEALTH CARE LLC
Entity Type:Organization
Organization Name:ZUMEKO HOME HEALTH CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RICKY
Authorized Official - Middle Name:
Authorized Official - Last Name:ENWERE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-675-1734
Mailing Address - Street 1:4018 36TH ST
Mailing Address - Street 2:
Mailing Address - City:MOUNT RAINIER
Mailing Address - State:MD
Mailing Address - Zip Code:20712-1912
Mailing Address - Country:US
Mailing Address - Phone:301-675-1734
Mailing Address - Fax:
Practice Address - Street 1:4018 36TH ST
Practice Address - Street 2:
Practice Address - City:MOUNT RAINIER
Practice Address - State:MD
Practice Address - Zip Code:20712-1912
Practice Address - Country:US
Practice Address - Phone:301-675-1734
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-03-20
Last Update Date:2024-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251B00000XAgenciesCase Management
No253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD5275005800OtherEPREP
MD100171028OtherEPREP ACCOUNT ID