Provider Demographics
NPI:1790114528
Name:ZINNIA PERSONAL HOME CARE, INC.
Entity Type:Organization
Organization Name:ZINNIA PERSONAL HOME CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:VIRGINIA
Authorized Official - Middle Name:
Authorized Official - Last Name:GONZALEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:915-541-0033
Mailing Address - Street 1:1323 MONTANA AVE.
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79902-5441
Mailing Address - Country:US
Mailing Address - Phone:915-307-5335
Mailing Address - Fax:915-307-5339
Practice Address - Street 1:1323 MONTANA AVE.
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79902-5441
Practice Address - Country:US
Practice Address - Phone:915-307-5335
Practice Address - Fax:915-307-5339
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-02
Last Update Date:2018-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Single Specialty
No251J00000XAgenciesNursing Care