Provider Demographics
NPI:1790421410
Name:ZINNIA HOSPICE LLC
Entity Type:Organization
Organization Name:ZINNIA HOSPICE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:JAYSON
Authorized Official - Last Name:ZANG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:725-266-5386
Mailing Address - Street 1:9811 W CHARLESTON BLVD # 2-859
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89117-7528
Mailing Address - Country:US
Mailing Address - Phone:725-266-5386
Mailing Address - Fax:
Practice Address - Street 1:7125 GRAND MONTECITO PKWY STE 110
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89149-0261
Practice Address - Country:US
Practice Address - Phone:725-266-5386
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-05
Last Update Date:2022-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based