Provider Demographics
NPI:1770812844
Name:ZELOMARA NURSING CARE, INC.
Entity type:Organization
Organization Name:ZELOMARA NURSING CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:ZENAIDA
Authorized Official - Middle Name:CACAY
Authorized Official - Last Name:CRUZ
Authorized Official - Suffix:
Authorized Official - Credentials:RN,BSN,CMSRN
Authorized Official - Phone:714-595-1723
Mailing Address - Street 1:8756 ARTESIA BLVD STE 10
Mailing Address - Street 2:
Mailing Address - City:BELLFLOWER
Mailing Address - State:CA
Mailing Address - Zip Code:90706-7735
Mailing Address - Country:US
Mailing Address - Phone:562-531-1063
Mailing Address - Fax:
Practice Address - Street 1:8756 ARTESIA BLVD
Practice Address - Street 2:
Practice Address - City:BELLFLOWER
Practice Address - State:CA
Practice Address - Zip Code:90706-7705
Practice Address - Country:US
Practice Address - Phone:562-531-1063
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-18
Last Update Date:2010-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA12909251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health