Hazel'S Tranquility Place

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

HAZEL'S TRANQUILITY PLACE

Practice address

125 Humphrey LN
Vallejo, CA 94591-7234

Phone

(707) 332-7825

NPI assigned

Feb 20, 2024

Organization subpart

No

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

Authorized official

Name

Kesha Patrice Williams

Title

Ceo

Phone

(707) 332-7825

Specialties & licenses 7

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jeann McDougald

  • Case Manager/Care Coordinator
  • Vallejo, CA
  • NPI 1740081264
  NPD
• Liliana Bahena

  • Home Health Aide
  • Vallejo, CA
  • NPI 1184553166
  NPD (past)

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

{
    "created_epoch": "1708387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731801600000",
    "number": "1104681998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4825 FERNWOOD CT",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945346856",
            "telephone_number": "707-332-7825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 HUMPHREY LN",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945917234",
            "telephone_number": "707-332-7825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAZEL'S TRANQUILITY PLACE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-20",
        "last_updated": "2024-11-17",
        "certification_date": "2024-11-17",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "KESHA",
        "authorized_official_middle_name": "PATRICE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "707-332-7825"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "177F00000X",
            "taxonomy_group": "",
            "desc": "Lodging",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Russell Hatch, CCMA
• Susan Hattori-Oyama, MD
• Stephanie Hausle, PT
• Stephen Haynam
• H. Scott Haynes, MD
• Yassamin Hazrati, MD
• Flora Feng He, PHARM.D.
• Loveta Head, LMFT
• Virginia Alexandria Headd, MD
• Healthridge Home Health Care, Inc.

• Case Management Agency in Vallejo, CA
• Providers in Vallejo, CA by specialty
• Case Management Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2024; 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.