Provider Demographics
NPI:1801776174
Name:ZOEDA CARE
Entity type:Organization
Organization Name:ZOEDA CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:AGNES
Authorized Official - Middle Name:T
Authorized Official - Last Name:NIMELY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:701-799-5260
Mailing Address - Street 1:2982 74TH AVE S
Mailing Address - Street 2:
Mailing Address - City:FARGO
Mailing Address - State:ND
Mailing Address - Zip Code:58104-5536
Mailing Address - Country:US
Mailing Address - Phone:701-799-5260
Mailing Address - Fax:
Practice Address - Street 1:2982 74TH AVE S
Practice Address - Street 2:
Practice Address - City:FARGO
Practice Address - State:ND
Practice Address - Zip Code:58104-5536
Practice Address - Country:US
Practice Address - Phone:701-799-5260
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-05
Last Update Date:2025-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care