Provider Demographics
NPI:1922852359
Name:ZEBRA HOME HEALTHCARE LLC
Entity Type:Organization
Organization Name:ZEBRA HOME HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AMBR
Authorized Official - Prefix:MR
Authorized Official - First Name:KIPNGETICH
Authorized Official - Middle Name:N
Authorized Official - Last Name:KORIR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:517-575-7523
Mailing Address - Street 1:1405 COLUMBIA DR
Mailing Address - Street 2:
Mailing Address - City:MIDLOTHIAN
Mailing Address - State:TX
Mailing Address - Zip Code:76065-3810
Mailing Address - Country:US
Mailing Address - Phone:517-575-7523
Mailing Address - Fax:
Practice Address - Street 1:1405 COLUMBIA DR
Practice Address - Street 2:
Practice Address - City:MIDLOTHIAN
Practice Address - State:TX
Practice Address - Zip Code:76065-3810
Practice Address - Country:US
Practice Address - Phone:517-575-7523
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-12
Last Update Date:2024-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care