Tranquillity at Fredericktowne

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

10AL022-G Issued in MD

Legal business name

TRANQUILLITY AT FREDERICKTOWNE

Practice address

6441 Jefferson Pike
Frederick, MD 21703-7039

Phone

(301) 668-6030

Fax

(301) 668-6034

NPI assigned

Feb 7, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jenny H. Tobery

Title

HR/Finance Manager

Phone

(301) 668-6030

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1328572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328572800000",
    "number": "1033481072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6441 JEFFERSON PIKE",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217037039",
            "telephone_number": "301-668-6030",
            "fax_number": "301-668-6034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6441 JEFFERSON PIKE",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217037039",
            "telephone_number": "301-668-6030",
            "fax_number": "301-668-6034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRANQUILLITY AT FREDERICKTOWNE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-07",
        "last_updated": "2012-02-07",
        "status": "A",
        "authorized_official_last_name": "TOBERY",
        "authorized_official_first_name": "JENNY",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "HR/FINANCE MANAGER",
        "authorized_official_telephone_number": "301-668-6030"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MD",
            "license": "10AL022-G",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5390005300",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amanda Tracey, LCPC
• Heather Nicole Trageser, COTA/L
• Henry Tran
• Neena Tran, LCSW-C
• Tranquility Woods Wellness Center LLC
• Trauma Specialists of Maryland, LLC (Trauma Specialists of Delaware)
• Dennis R Travagline, CH
• Travis Riser, LLC
• Treasures, Inc.
• Lauren Trego, CRNP

• Assisted Living Facility in Frederick, MD
• Providers in Frederick, MD by specialty
• Assisted Living Facility in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.