NPIMap

Organization Active NPI

Tranquility Haven, LLC II

  • Assisted Living Facility
  • Cocoa, FL
National Provider Identifier
1053684779
Registry record updated Feb 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
35197 Issued in FL
Legal business name
TRANQUILITY HAVEN, LLC II
Practice address
4030 Vancouver Ave
Cocoa, FL 32926-2725
Phone
(321) 543-5911
Fax
(321) 507-4698
NPI assigned
Feb 10, 2012
Organization subpart
Yes
Parent organization
TRANQUILITY HAVEN, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 10, 2012

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

Authorized official

Name
Linda Cole
Title
Administrator
Phone
(321) 543-5911

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 35197 FL Primary

Addresses

Primary practice location

4030 Vancouver Ave
Cocoa, FL 32926-2725

Mailing address

4030 Vancouver Ave
Cocoa, FL 32926-2725
Phone (321) 543-5911

National Provider Directory

National Provider Directory
Tax ID family
Tranquility Haven LLC2 organizations share this tax ID, including this one
Part of
Tranquility Haven LLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1328832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328832000000",
    "number": "1053684779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4030 VANCOUVER AVE",
            "city": "COCOA",
            "state": "FL",
            "postal_code": "329262725",
            "telephone_number": "321-543-5911",
            "fax_number": "321-507-4698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4030 VANCOUVER AVE",
            "city": "COCOA",
            "state": "FL",
            "postal_code": "329262725",
            "telephone_number": "321-543-5911",
            "fax_number": "321-507-4698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRANQUILITY HAVEN, LLC II",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TRANQUILITY HAVEN, LLC",
        "enumeration_date": "2012-02-10",
        "last_updated": "2012-02-10",
        "status": "A",
        "authorized_official_last_name": "COLE",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "321-543-5911"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "35197",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cocoa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 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.