Tranquility Sands Hospice, Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

TRANQUILITY SANDS HOSPICE, INC.

Practice address

74333 Highway 111 Ste 204
Palm Desert, CA 92260-4131

Phone

(760) 565-1774

NPI assigned

Aug 23, 2020

Last updated

Aug 23, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tristan Reparejo

Title

Ceo

Phone

(760) 565-1774

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1487266169. Details of each certification follow.

• CCN A11757 Hospice · Active · Details

Hospice certification: CCN A11757

Legal name

TRANQUILITY SANDS HOSPICE INC

Certification status

Active

Provider type (POS)

Hospice

Participating since

Jun 3, 2021

Last certification

Jun 3, 2021

Ownership / control type

Proprietary - Corporation

Organization structure

CorporationProprietary

Incorporated

May 13, 2020 in CA

Enrollment address

74333 Highway 111
Ste 204
Palm Desert, CA 92260-4131

Listed as

Tranquility Sands Hospice, IncCCN A11757 · All quality measures

Ownership

For-Profit

Certified

Jun 3, 2021

Medicare certification status

ActiveFrom the Provider of Services file

Locations

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Amar Kumar Parimi, M.D.

  • Family Medicine Physician
  • Rancho Mirage, CA
  • NPI 1831266196

  Hospice

  Care Compare affiliation
• Patricia Sotolongo, DO

  • Internal Medicine Physician
  • Palm Springs, CA
  • NPI 1093176075

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1598140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598140800000",
    "number": "1487266169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "74333 HIGHWAY 111 STE 204",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922604131",
            "telephone_number": "760-565-1774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "74333 HIGHWAY 111 STE 204",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922604131",
            "telephone_number": "760-565-1774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRANQUILITY SANDS HOSPICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-23",
        "last_updated": "2020-08-23",
        "certification_date": "2020-08-23",
        "status": "A",
        "authorized_official_last_name": "REPAREJO",
        "authorized_official_first_name": "TRISTAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "760-565-1774"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine Vivi Tran, PHARMD
• Pauline Yen Tran
• Van T Tran
• Victoria Tran
• Tranquil Transport Solutions
• Sylvia Ann Trapuzzano, PSY.D., LMFT
• Jacqueline Trejo
• Johanna Trejo
• Laura Raquel Trejo
• Estefania Trevino

• Community Based Hospice Care Agency in Palm Desert, CA
• Providers in Palm Desert, CA by specialty
• Community Based Hospice Care Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.