Provider Demographics
NPI:1821813015
Name:ZIVA HEALTHCARE SERVICES LLC
Entity type:Organization
Organization Name:ZIVA HEALTHCARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:LARE
Authorized Official - Middle Name:
Authorized Official - Last Name:NDENGANG
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:405-408-2364
Mailing Address - Street 1:9246 S SHERIDAN RD STE 210
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74133-5442
Mailing Address - Country:US
Mailing Address - Phone:918-400-0437
Mailing Address - Fax:918-701-6623
Practice Address - Street 1:9246 S SHERIDAN RD STE 210
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74133-5442
Practice Address - Country:US
Practice Address - Phone:918-400-0437
Practice Address - Fax:918-701-6623
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-21
Last Update Date:2024-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care