Tranquility House LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

BH-3984 Issued in AZ

Legal business name

TRANQUILITY HOUSE LLC

Practice address

13428 W Acapulco LN
Surprise, AZ 85379-6553

Phone

(602) 369-1254

Fax

(623) 337-5076

NPI assigned

Sep 18, 2012

Last updated

Sep 18, 2012By the provider in NPPES

Organization subpart

Yes

Parent organization

TRANQUILITY HOUSE LLCAs reported in NPPES

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

Authorized official

Name

Ms. Shaiba Barry, RN/BSN/NP

Title

Clinical Director

Phone

(602) 369-1254

Specialties & licenses 1

Addresses

Part of

Tranquility House LLC

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

{
    "created_epoch": "1347926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347926400000",
    "number": "1326398371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13428 W ACAPULCO LN",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853796553",
            "telephone_number": "602-369-1254",
            "fax_number": "623-337-5076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13428 W ACAPULCO LN",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853796553",
            "telephone_number": "602-369-1254",
            "fax_number": "623-337-5076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRANQUILITY HOUSE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TRANQUILITY HOUSE LLC",
        "enumeration_date": "2012-09-18",
        "last_updated": "2012-09-18",
        "status": "A",
        "authorized_official_last_name": "BARRY",
        "authorized_official_first_name": "SHAIBA",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "602-369-1254",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN/BSN/NP"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "AZ",
            "license": "BH-3984",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 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.