Zelevie Health of Waco LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

ZELEVIE HEALTH OF WACO LLC

Practice address

5801 Crosslake Pkwy
Waco, TX 76712-6962

Phone

(801) 683-6565

NPI assigned

Sep 15, 2022

Organization subpart

No

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

Authorized official

Name

Matt Rasband

Title

Ceo

Phone

(801) 200-9142

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1663200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663200000000",
    "number": "1700508793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5801 CROSSLAKE PKWY",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767126962",
            "telephone_number": "801-683-6565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5801 CROSSLAKE PKWY",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767126962",
            "telephone_number": "801-683-6565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZELEVIE HEALTH OF WACO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-15",
        "last_updated": "2022-09-15",
        "certification_date": "2022-09-15",
        "status": "A",
        "authorized_official_last_name": "RASBAND",
        "authorized_official_first_name": "MATT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "801-200-9142"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shannon Denise Zander, LPC
• Rosa Linda Zapata
• Anita Carol Zaricor, OTR
• Guido Emmett Zecca, MD
• Jazmin Zeledon-Morales, FNP-BC
• Anne-Marie Zellers, LPC-S
• Jessica Zengerle
• Steven C Zielinski, M.D.
• Madison Ann Zimmerman, PT, DPT
• Brittany Morgan Zipperlen, PA-C

• Skilled Nursing Facility in Waco, TX
• Providers in Waco, TX by specialty
• Skilled Nursing Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.