Provider Demographics
NPI:1730984600
Name:ZAREK, JODI C (INDEPENDENT PROVIDER)
Entity type:Individual
Prefix:MS
First Name:JODI
Middle Name:C
Last Name:ZAREK
Suffix:
Gender:F
Credentials:INDEPENDENT PROVIDER
Other - Prefix:MS
Other - First Name:JODI
Other - Middle Name:C
Other - Last Name:ZAREK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:INDEPENDENT PROVIDER
Mailing Address - Street 1:1400 FRANKLIN AVE APT 50
Mailing Address - Street 2:
Mailing Address - City:COUNCIL BLUFFS
Mailing Address - State:IA
Mailing Address - Zip Code:51503-5226
Mailing Address - Country:US
Mailing Address - Phone:712-308-0106
Mailing Address - Fax:
Practice Address - Street 1:1711 S 155TH CIR
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68144-1971
Practice Address - Country:US
Practice Address - Phone:712-308-0106
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-15
Last Update Date:2025-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385H00000XRespite Care FacilityRespite Care