Provider Demographics
NPI:1518559533
Name:TYRONE HOSPICE CARE, INC.
Entity Type:Organization
Organization Name:TYRONE HOSPICE CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:EDMOND
Authorized Official - Middle Name:
Authorized Official - Last Name:ZAKARIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:657-444-5200
Mailing Address - Street 1:1207 W IMPERIAL HWY STE 101
Mailing Address - Street 2:
Mailing Address - City:BREA
Mailing Address - State:CA
Mailing Address - Zip Code:92821-3737
Mailing Address - Country:US
Mailing Address - Phone:657-444-5200
Mailing Address - Fax:
Practice Address - Street 1:1207 W IMPERIAL HWY STE 101
Practice Address - Street 2:
Practice Address - City:BREA
Practice Address - State:CA
Practice Address - Zip Code:92821-3737
Practice Address - Country:US
Practice Address - Phone:657-444-5200
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-10
Last Update Date:2021-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based