Pocono Tranquil Gardens, LLC

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

485184 Issued in PA

Legal business name

POCONO TRANQUIL GARDENS, LLC

Practice address

329 E Brown St
East Stroudsburg, PA 18301-3014

Phone

(570) 426-4000

NPI assigned

Oct 14, 2013

Organization subpart

No

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

Authorized official

Name

Tracy Vonbroock

Title

Executive Director

Phone

(570) 426-4013

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1381708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381708800000",
    "number": "1376971135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "329 E BROWN ST",
            "city": "EAST STROUDSBURG",
            "state": "PA",
            "postal_code": "183013014",
            "telephone_number": "570-426-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "329 E BROWN ST",
            "city": "EAST STROUDSBURG",
            "state": "PA",
            "postal_code": "183013014",
            "telephone_number": "570-426-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POCONO TRANQUIL GARDENS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-14",
        "last_updated": "2013-10-14",
        "status": "A",
        "authorized_official_last_name": "VONBROOCK",
        "authorized_official_first_name": "TRACY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "570-426-4013"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "PA",
            "license": "485184",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pocono Surgical Associates
• Pocono Urology Assoc
• Pocono Vascular Institute PC
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• Natalie Goldie Pollet, ATC

• Adult Care Home Facility in East Stroudsburg, PA
• Providers in East Stroudsburg, PA by specialty
• Adult Care Home Facility in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2013; 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.