Zebulon Opco, LLC

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

ZEBULON OPCO, LLC

Doing business as

Coventry House of Zebulon

Practice address

1205 W Gannon Ave
Zebulon, NC 27597-8838

Phone

(919) 269-7762

NPI assigned

Sep 26, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Tammy Bunn

Title

Executive Director

Phone

(828) 322-5535

Specialties & licenses 2

Addresses

Other names 1

• Coventry House of Zebulon Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1569456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569456000000",
    "number": "1366093817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1205 W GANNON AVE",
            "city": "ZEBULON",
            "state": "NC",
            "postal_code": "275978838",
            "telephone_number": "919-269-7762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 W GANNON AVE",
            "city": "ZEBULON",
            "state": "NC",
            "postal_code": "275978838",
            "telephone_number": "919-269-7762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZEBULON OPCO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-26",
        "last_updated": "2019-09-26",
        "status": "A",
        "authorized_official_last_name": "BUNN",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "828-322-5535",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Coventry House of Zebulon",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Asma Zaben
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• Zebulon Drug Company Inc (Oneals Drug Store)
• Zebulon Drug Company Inc (ONeals Drug Store)
• Zebulon Healthcare Center PA
• Zebulon Rehabilitation Center, LLC (Zebulon Rehabilitation Center)
• Zhi,LLC (Zebulon House)
• David Zuckerman, PA-C
• Susan Anne Zulinke, C.O.T.A.

• Adult Care Home Facility in Zebulon, NC
• Providers in Zebulon, NC by specialty
• Adult Care Home Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.