Zion Family Care Home Corp

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

FCL032084 Issued in NC

Legal business name

ZION FAMILY CARE HOME CORP

Practice address

101 Knothole LN
Durham, NC 27704-6112

Phone

(919) 425-1683

Fax

(919) 425-1683

NPI assigned

Jan 23, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Ali Basil Watson

Title

Administrator Owner

Phone

(919) 452-7716

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315267200000",
    "number": "1922152214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 KNOTHOLE LN",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277046112",
            "telephone_number": "919-452-7716",
            "fax_number": "919-425-1683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 KNOTHOLE LN",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277046112",
            "telephone_number": "919-425-1683",
            "fax_number": "919-425-1683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZION FAMILY CARE HOME CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-23",
        "last_updated": "2011-09-06",
        "status": "A",
        "authorized_official_last_name": "WATSON",
        "authorized_official_first_name": "ALI",
        "authorized_official_middle_name": "BASIL",
        "authorized_official_title_or_position": "ADMINISTRATOR OWNER",
        "authorized_official_telephone_number": "919-452-7716",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NC",
            "license": "FCL032084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eugenia Fay Zimmerman, M.D.
• Jessica Killmeier Zimmerman, PA-C
• Kanecia Obie Zimmerman, MD MPH
• Paul Eric Zimmerman, M.D.
• Sandra D Zinn, PHD
• Daniella Zipkin, M.D.
• Allison Zirkel, MSW, LCSW
• Mark Logan Zizzi
• Zoe Wellness
• Cheryl Kay Zogg, MD, PHD, MSPH, MHS

• Assisted Living Facility in Durham, NC
• Providers in Durham, NC by specialty
• Assisted Living Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2011; 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.