Organization Active NPI

Pinsri Care

Doing business as Tranquil Manor

  • Adult Care Home Facility
  • Suffolk, VA
National Provider Identifier
1205645637
Registry record updated Dec 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
Legal business name
PINSRI CARE
Doing business as
Tranquil Manor
Practice address
111 Elm Tree CT
Suffolk, VA 23435-2278
Phone
(804) 412-9078
NPI assigned
Dec 31, 2024
Last updated
Dec 31, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2024

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

Authorized official

Name
Kewarin Pinsri NealNPI 1043084718
Title
Owner
Phone
(757) 612-1052

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Custodial Care Facility 311Z00000X
Adult Care Home Facility 311ZA0620X Primary

Addresses

Primary practice location

111 Elm Tree CT
Suffolk, VA 23435-2278

Mailing address

100 7TH St Ste 104
Portsmouth, VA 23704-4800
Phone (804) 413-9078

Other names 1

  • Tranquil Manor Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1735603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735603200000",
    "number": "1205645637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 7TH ST STE 104",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237044800",
            "telephone_number": "804-413-9078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 ELM TREE CT",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234352278",
            "telephone_number": "804-412-9078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINSRI CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-31",
        "last_updated": "2024-12-31",
        "certification_date": "2024-12-31",
        "status": "A",
        "authorized_official_last_name": "NEAL",
        "authorized_official_first_name": "KEWARIN",
        "authorized_official_middle_name": "PINSRI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "757-612-1052"
    },
    "taxonomies": [
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tranquil Manor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Suffolk, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 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.