Healthcare Provider Details

I. General information

NPI: 1992657050
Provider Name (Legal Business Name): PEACEFUL STAY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/11/2026
Last Update Date: 02/11/2026
Certification Date: 02/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 E 82ND ST
LOS ANGELES CA
90001-3224
US

IV. Provider business mailing address

800 E 82ND ST
LOS ANGELES CA
90001-3224
US

V. Phone/Fax

Practice location:
  • Phone: 213-306-8386
  • Fax:
Mailing address:
  • Phone: 213-306-8386
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3104A0625X
TaxonomyAssisted Living Facility (Mental Illness)
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code311500000X
TaxonomyAlzheimer Center (Dementia Center)
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code311ZA0620X
TaxonomyAdult Care Home Facility
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code315D00000X
TaxonomyInpatient Hospice
License Number
License Number State

VIII. Authorized Official

Name: TYRONE MCGEE
Title or Position: OWNER
Credential:
Phone: 310-963-7288