Provider Demographics
NPI:1881663466
Name:ZAPA MANAGEMENT INC
Entity Type:Organization
Organization Name:ZAPA MANAGEMENT INC
Other - Org Name:ADULT DAY SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ZINOVIY
Authorized Official - Middle Name:
Authorized Official - Last Name:GEREVITS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:904-425-6991
Mailing Address - Street 1:6271-17 ST AUGUSTINE RD
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32217
Mailing Address - Country:US
Mailing Address - Phone:904-425-6991
Mailing Address - Fax:904-425-6987
Practice Address - Street 1:6271-17 ST AUGUSTINE RD
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32217
Practice Address - Country:US
Practice Address - Phone:904-425-6991
Practice Address - Fax:904-425-6987
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAHCA9043261QA0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL9043OtherAHCA