Tranquility Hospice,LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

HSPC8134 Issued in AZ

Legal business name

TRANQUILITY HOSPICE,LLC

Practice address

8751 N 51St Ave Ste 110
Glendale, AZ 85302-4944

Phone

(480) 343-8045

Fax

(623) 939-3115

NPI assigned

Feb 12, 2018

Organization subpart

No

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

Authorized official

Name

Mrs. Ma Teresita Patino Isiderio

Title

Administrator

Phone

(480) 343-8045

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1518393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1356841787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8751 N 51ST AVE STE 110",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853024944",
            "telephone_number": "480-343-8045",
            "fax_number": "623-939-3115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8751 N 51ST AVE STE 110",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853024944",
            "telephone_number": "480-343-8045",
            "fax_number": "623-939-3115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRANQUILITY HOSPICE,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-12",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "ISIDERIO",
        "authorized_official_first_name": "MA TERESITA",
        "authorized_official_middle_name": "PATINO",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "480-343-8045",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "AZ",
            "license": "HSPC8134",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "HSPC8134",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.