Provider Demographics
NPI:1306245436
Name:ZUMPANO, TONY RAY III (HHA)
Entity type:Individual
Prefix:MR
First Name:TONY
Middle Name:RAY
Last Name:ZUMPANO
Suffix:III
Gender:M
Credentials:HHA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:360 LOCUST ST N
Mailing Address - Street 2:
Mailing Address - City:CANAL FULTON
Mailing Address - State:OH
Mailing Address - Zip Code:44614-1122
Mailing Address - Country:US
Mailing Address - Phone:330-289-0566
Mailing Address - Fax:
Practice Address - Street 1:360 LOXUST ST. NORTH
Practice Address - Street 2:
Practice Address - City:CANAL FULTON
Practice Address - State:OH
Practice Address - Zip Code:44614
Practice Address - Country:US
Practice Address - Phone:330-289-0566
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-08-14
Last Update Date:2014-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH0103851374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide