Provider Demographics
NPI:1932438298
Name:ZELOMARA PLUS HOME HEALTH, INC.
Entity Type:Organization
Organization Name:ZELOMARA PLUS HOME HEALTH, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:GRACE
Authorized Official - Middle Name:
Authorized Official - Last Name:GAVINA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:657-230-9245
Mailing Address - Street 1:520 N BROOKHURST ST STE 202
Mailing Address - Street 2:
Mailing Address - City:ANAHEIM
Mailing Address - State:CA
Mailing Address - Zip Code:92801-5236
Mailing Address - Country:US
Mailing Address - Phone:657-230-9245
Mailing Address - Fax:657-230-9246
Practice Address - Street 1:520 N BROOKHURST ST STE 202
Practice Address - Street 2:
Practice Address - City:ANAHEIM
Practice Address - State:CA
Practice Address - Zip Code:92801-5236
Practice Address - Country:US
Practice Address - Phone:657-230-9245
Practice Address - Fax:657-230-9246
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-16
Last Update Date:2019-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health