Provider Demographics
NPI:1679071070
Name:ZUHA HOMES, INC
Entity Type:Organization
Organization Name:ZUHA HOMES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:AHMAD
Authorized Official - Middle Name:
Authorized Official - Last Name:UMAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:909-919-3497
Mailing Address - Street 1:6133 JADEITE AVE
Mailing Address - Street 2:
Mailing Address - City:RANCHO CUCAMONGA
Mailing Address - State:CA
Mailing Address - Zip Code:91737-3660
Mailing Address - Country:US
Mailing Address - Phone:909-919-3497
Mailing Address - Fax:909-244-9414
Practice Address - Street 1:2758 SAN DIMAS CANYON RD
Practice Address - Street 2:
Practice Address - City:LA VERNE
Practice Address - State:CA
Practice Address - Zip Code:91750-4757
Practice Address - Country:US
Practice Address - Phone:909-394-9777
Practice Address - Fax:909-506-4446
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-31
Last Update Date:2018-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA960000689315P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes315P00000XNursing & Custodial Care FacilitiesIntermediate Care Facility, Intellectual Disabilities