Provider Demographics
NPI:1841056314
Name:ZIONGRACE CARE LLC
Entity type:Organization
Organization Name:ZIONGRACE CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:HAMANI
Authorized Official - Suffix:
Authorized Official - Credentials:RN (BSN)
Authorized Official - Phone:404-988-6273
Mailing Address - Street 1:12926 HIGHWAY 92 STE 900
Mailing Address - Street 2:
Mailing Address - City:WOODSTOCK
Mailing Address - State:GA
Mailing Address - Zip Code:30188-5198
Mailing Address - Country:US
Mailing Address - Phone:404-988-6273
Mailing Address - Fax:
Practice Address - Street 1:12926 HIGHWAY 92 STE 900
Practice Address - Street 2:
Practice Address - City:WOODSTOCK
Practice Address - State:GA
Practice Address - Zip Code:30188-5198
Practice Address - Country:US
Practice Address - Phone:404-988-6273
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-22
Last Update Date:2024-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care