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TYLYCE FARMS
NPI 1205424405
Home Health in Los Angeles, CA

Active since January 05, 2021
1937 E 111TH ST, LOS ANGELES, CA 90059(661) 797-4018 Get Directions Write a Review

NPPES record last updated: January 5, 2021. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Tylyce Farms NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TYLYCE FARMS (NPI 1205424405), doing business as Magenta Haze Pr, is a healthcare organization registered as a home health in Los Angeles, California and active in the NPI registry since January 2021. The organization lists Charde Petrus, Director, as its authorized official.

NPPES Registry Identity

NPI1205424405
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NameTYLYCE FARMS
Location Address1937 E 111TH STLos Angeles, CA 90059-2001
Mailing Address3231 Key Largo Dr Apt 202Las Vegas, NV 89120-5304 · (925) 332-8810
Phone(661) 797-4018
Organization SubpartYesParent: Magenta Sky Pr
Authorized OfficialCharde PetrusDirector · (661) 797-4018
Enumeration DateJanuary 5, 2021
NPPES CertifiedJanuary 4, 2021
✔ NPI 1205424405 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X
Also ListedLicensed Psychiatric TechnicianTaxonomy 167G00000X
1937 E 111TH ST, Los Angeles, CA 90059
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Other Names 1

Former Legal Business NameMagenta Haze Pr

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tylyce Farms's NPI number?

The NPI number for Tylyce Farms is 1205424405. It was assigned to this organization in the NPPES registry on January 5, 2021. The provider was formerly known as Magenta Haze Pr.

Where is Tylyce Farms located?

Tylyce Farms is located at 1937 E 111th St, Los Angeles, CA 90059. The listed phone number is (661) 797-4018.

What is Tylyce Farms's specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

When was this NPI record last updated?

The NPPES record for Tylyce Farms was last updated on January 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.