Provider Demographics
NPI:1578261277
Name:ZENITH HEALTHCARE INC
Entity Type:Organization
Organization Name:ZENITH HEALTHCARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ADEBISI
Authorized Official - Middle Name:
Authorized Official - Last Name:BAMMEKE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:631-568-7893
Mailing Address - Street 1:470 DACULA RD UNIT 1216
Mailing Address - Street 2:
Mailing Address - City:DACULA
Mailing Address - State:GA
Mailing Address - Zip Code:30019-0109
Mailing Address - Country:US
Mailing Address - Phone:631-568-7893
Mailing Address - Fax:
Practice Address - Street 1:3 ROSEMARY WAY APT 1C
Practice Address - Street 2:
Practice Address - City:REISTERSTOWN
Practice Address - State:MD
Practice Address - Zip Code:21136-6342
Practice Address - Country:US
Practice Address - Phone:631-568-7893
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-21
Last Update Date:2023-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes323P00000XResidential Treatment FacilitiesPsychiatric Residential Treatment Facility
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)