Provider Demographics
NPI:1760997019
Name:ZECKS HOME HEALTH LLC
Entity Type:Organization
Organization Name:ZECKS HOME HEALTH LLC
Other - Org Name:COMFORT KEEPERS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:DAWN
Authorized Official - Last Name:ZECK
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:574-992-2816
Mailing Address - Street 1:3707 E MARKET STREET
Mailing Address - Street 2:
Mailing Address - City:LOGANSPORT
Mailing Address - State:IN
Mailing Address - Zip Code:46947
Mailing Address - Country:US
Mailing Address - Phone:574-992-2816
Mailing Address - Fax:574-992-2818
Practice Address - Street 1:3707 E MARKET STREET
Practice Address - Street 2:
Practice Address - City:LOGANSPORT
Practice Address - State:IN
Practice Address - Zip Code:46947
Practice Address - Country:US
Practice Address - Phone:574-992-2816
Practice Address - Fax:574-992-2818
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ZECKS HOME HEALTH LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-12-08
Last Update Date:2023-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN17-014276-1251E00000X
3747P1801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Multi-Specialty
No251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN300030382Medicaid
IN300001175Medicaid