Provider Demographics
NPI:1386227130
Name:TRANQUIL DAWN HOSPICE
Entity Type:Organization
Organization Name:TRANQUIL DAWN HOSPICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:DIANA
Authorized Official - Middle Name:
Authorized Official - Last Name:AKOPYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-209-4878
Mailing Address - Street 1:970 S VILLAGE OAKS DR STE 105A
Mailing Address - Street 2:
Mailing Address - City:COVINA
Mailing Address - State:CA
Mailing Address - Zip Code:91724-0609
Mailing Address - Country:US
Mailing Address - Phone:818-209-4878
Mailing Address - Fax:
Practice Address - Street 1:970 S VILLAGE OAKS DR STE 105A
Practice Address - Street 2:
Practice Address - City:COVINA
Practice Address - State:CA
Practice Address - Zip Code:91724-0609
Practice Address - Country:US
Practice Address - Phone:818-209-4878
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-29
Last Update Date:2021-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based