Tranquility PCH, LLC

Primary specialty

Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X

License

044-01-737-2 Issued in GA

Legal business name

TRANQUILITY PCH, LLC

Practice address

3440 Rainbow Dr
Decatur, GA 30034-1807

Phone

(404) 593-6386

NPI assigned

Jul 26, 2011

Organization subpart

No

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

Authorized official

Name

Miss Sheryl Wright

Title

Ceo

Phone

(404) 593-6386

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1311638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311638400000",
    "number": "1427336346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3440 RAINBOW DR",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300341807",
            "telephone_number": "404-593-6386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3440 RAINBOW DR",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300341807",
            "telephone_number": "404-593-6386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRANQUILITY PCH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-26",
        "last_updated": "2011-07-26",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "SHERYL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "404-593-6386",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "GA",
            "license": "044-01-737-2",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "291733345A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Intellectual Disabilities Intermediate Care Facility in Decatur, GA
• Providers in Decatur, GA by specialty
• Intellectual Disabilities Intermediate Care Facility in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2011; 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.