Organization Active NPI

Tranquility Hospice Care, Inc.

  • Community Based Hospice Care Agency
  • Georgetown, TX
National Provider Identifier
1609300466
Registry record updated Jun 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
TRANQUILITY HOSPICE CARE, INC.
Practice address
2700 Shell Rd
Georgetown, TX 78628-9237
Phone
(512) 688-5607
Fax
(512) 436-0802
NPI assigned
Apr 18, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2021

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

Authorized official

Name
Beebee Bartell, PHARMD
Title
Administrator
Phone
(512) 688-5607

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X Primary

Addresses

Primary practice location

2700 Shell Rd
Georgetown, TX 78628-9237

Mailing address

2700 Shell Rd
Georgetown, TX 78628-9237
Phone (512) 688-5607

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171016002460 TX Part A Provider - Hospice 8022384247 Practice locations: Georgetown, TX

Hospice certification: CCN 741722

Legal name
TRANQUILITY HOSPICE CARE, INC
Certification status
Active
Provider type (POS)
Hospice
Participating since
Mar 16, 2018
Last certification
Apr 15, 2021
Ownership / control type
Proprietary - Corporation
Organization structure
CorporationProprietary
Incorporated
Nov 13, 2013 in TX
Enrollment address
2700 Shell Rd
Georgetown, TX 78628-9237

Care Compare: Hospice

Medicare Care Compare
Listed as
Tranquility Hospice Care IncCCN 741722 · All quality measures
Ownership
For-Profit
Certified
Mar 16, 2018
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

2700 Shell Rd
Georgetown, TX 78628
Phone (512) 819-4253

Ownership & related parties

All disclosed owners & managing parties 7

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

NameRoleSinceShare
Char Hu Individual 5% Or Greater Direct Ownership Interest Nov 12, 2013 22%
Corporate DirectorDirector Nov 12, 2013
Eric Corum Individual 5% Or Greater Direct Ownership Interest Nov 12, 2013 12%
Corporate DirectorDirector Nov 12, 2013
Beebee Hu Individual 5% Or Greater Direct Ownership Interest Nov 12, 2013 22%
Corporate DirectorDirector Nov 12, 2013
W-2 Managing EmployeeAdministrator Jan 8, 2021 100%
Yun Woong Kim Individual W-2 Managing Employee Apr 16, 2019
Joanne Corum Individual 5% Or Greater Direct Ownership Interest Nov 12, 2013 22%
Corporate DirectorDirector Nov 12, 2013
Dee Leschke Individual 5% Or Greater Direct Ownership Interest Nov 12, 2013
Corporate DirectorDirector Nov 12, 2013
Rhonda Keen Individual W-2 Managing EmployeeAlt Admin Alt Supervising Nurse Apr 10, 2017

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 1

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

Affiliated clinicians 1

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

NPI Registry JSON

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

{
    "created_epoch": "1492473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622505600000",
    "number": "1609300466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 SHELL RD",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786289237",
            "telephone_number": "512-688-5607",
            "fax_number": "512-436-0802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 SHELL RD",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786289237",
            "telephone_number": "512-688-5607",
            "fax_number": "512-436-0802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRANQUILITY HOSPICE CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-18",
        "last_updated": "2021-06-01",
        "certification_date": "2021-06-01",
        "status": "A",
        "authorized_official_last_name": "BARTELL",
        "authorized_official_first_name": "BEEBEE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "512-688-5607",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Georgetown, TX

Sources for this page

Verify at the official NPI Registry.