NPIMap

Organization Active NPI

Tranquility Incorporated

  • Skilled Nursing Facility
  • Concord, CA
National Provider Identifier
1396813465
Registry record updated Mar 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
140000186 Issued in CA
Legal business name
TRANQUILITY INCORPORATED
Doing business as
San Miguel Villa
Practice address
1050 San Miguel Rd
Concord, CA 94518-2094
Phone
(925) 825-4280
Fax
(925) 676-1649
NPI assigned
Nov 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2014

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

Authorized official

Name
Mrs. Velda Pierce
Title
Executive Administrator
Phone
(925) 825-4280

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 140000186 CA Primary
Nursing Facility Supplies (DME) 332BN1400X 140000186 CA
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X 140000186 CA

Addresses

Primary practice location

1050 San Miguel Rd
Concord, CA 94518-2094

Mailing address

1050 San Miguel Rd
Concord, CA 94518-2094
Phone (925) 825-4280

Other identifiers 1

IdentifierTypeStateIssuer
ZZR55104HMedicaidCA

Other names 1

  • San Miguel Villa Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395619200000",
    "number": "1396813465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 SAN MIGUEL RD",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945182094",
            "telephone_number": "925-825-4280",
            "fax_number": "925-676-1649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 SAN MIGUEL RD",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945182094",
            "telephone_number": "925-825-4280",
            "fax_number": "925-676-1649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRANQUILITY INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-30",
        "last_updated": "2014-03-24",
        "status": "A",
        "authorized_official_last_name": "PIERCE",
        "authorized_official_first_name": "VELDA",
        "authorized_official_title_or_position": "EXECUTIVE ADMINISTRATOR",
        "authorized_official_telephone_number": "925-825-4280",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "140000186",
            "primary": true
        },
        {
            "code": "332BN1400X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies",
            "state": "CA",
            "license": "140000186",
            "primary": false
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "CA",
            "license": "140000186",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZR55104H",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "San Miguel Villa",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Concord, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2014; 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.