Active NPI
Tranquility Manor LLC
Doing business as Harbor View Manor
- Assisted Living Facility
- Palmer, AK
National Provider Identifier
1306975735
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- License
- 000267
- Legal business name
- TRANQUILITY MANOR LLC
- Doing business as
- Harbor View Manor
- Practice address
- 1205 N Tranquility LN
Palmer, AK 99645-8624 - Phone
- (907) 746-4220
- Fax
- (907) 746-4207
- NPI assigned
- Mar 2, 2007
- Last updated
- Oct 28, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Bruce Korman
- Title
- Owner
- Phone
- (907) 746-4220
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | 000267 | AK | Primary |
Addresses
Primary practice location
1205 N Tranquility LN
Palmer, AK 99645-8624
Mailing address
1205 N Tranquility LN
Palmer, AK 99645-8624
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RL4310 | Medicaid | AK |
Other names 1
- Harbor View Manor
National Provider Directory
National Provider Directory- Tax ID family
- Harbor View Manor
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Assisted Living Facility
- Palmer, AK
- NPI 1164788071
Locations
1205 N Tranquility Ln
Palmer, AK 99645
Phone (907) 746-4220
Ownership & related parties
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- Assisted Living Facility
- Palmer, AK
- NPI 1164788071
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172793600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1225152000000",
"number": "1306975735",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1205 N TRANQUILITY LN",
"city": "PALMER",
"state": "AK",
"postal_code": "996458624"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1205 N TRANQUILITY LN",
"city": "PALMER",
"state": "AK",
"postal_code": "996458624",
"telephone_number": "907-746-4220",
"fax_number": "907-746-4207"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TRANQUILITY MANOR LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-02",
"last_updated": "2008-10-28",
"status": "A",
"authorized_official_last_name": "KORMAN",
"authorized_official_first_name": "BRUCE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "907-746-4220",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "AK",
"license": "000267",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "RL4310",
"state": "AK"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Harbor View Manor",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Palmer, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.