Active NPI
Tranquility Health Care LLC
- Community Based Hospice Care Agency
- Delaware, OH
National Provider Identifier
1609414523
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- Legal business name
- TRANQUILITY HEALTH CARE LLC
- Practice address
- 1949 State Route 37 W Ste C
Delaware, OH 43015-1019 - Phone
- (740) 990-1023
- NPI assigned
- Dec 11, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Andria Kreis
- Title
- Administrator
- Phone
- (740) 990-1023
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | Primary |
Addresses
Primary practice location
1949 State Route 37 W Ste C
Delaware, OH 43015-1019
Mailing address
1949 State Route 37 W Ste C
Delaware, OH 43015-1019
Phone (740) 990-1023
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200624002871 | OH | Part A Provider - Hospice | 6800218611 | Practice locations: Delaware, OH |
Hospice certification: CCN 361708
- Legal name
- TRANQUILITY HEALTH CARE LLC
- Certification status
- Active
- Provider type (POS)
- Hospice
- Participating since
- Oct 13, 2020
- Last certification
- Oct 13, 2020
- Ownership / control type
- Proprietary - Corporation
- Organization structure
- LLC
- Incorporated
- Aug 9, 2019 in OH
- Enrollment address
- 1949 State Route 37 W
Ste C
Delaware, OH 43015-1019
Care Compare: Hospice
Medicare Care Compare- Listed as
- Tranquility Hospice
- Ownership
- For-Profit
- Certified
- Oct 13, 2020
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 36D2181269 | Tranquility Health Care LLC Dba | Certificate of waiver | Mar 30, 2028 |
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 6
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Kevin Brooker | 5% Or Greater Direct Ownership Interest | Aug 9, 2019 | 16.7% |
| Corporate Director | Aug 9, 2019 | 25% | |
| Clifford W Schramm | 5% Or Greater Direct Ownership Interest | Aug 9, 2019 | 16.7% |
| Corporate Director | Aug 9, 2019 | 25% | |
| W-2 Managing Employee | Aug 9, 2019 | 100% | |
| Adam Ralph | 5% Or Greater Direct Ownership Interest | Aug 9, 2019 | 16.7% |
| Corporate Director | Aug 9, 2019 | 25% | |
| Douglas McKinney | 5% Or Greater Direct Ownership Interest | Aug 9, 2019 | 16.7% |
| Corporate Director | Aug 9, 2019 | 25% | |
| Jennifer Singh | 5% Or Greater Direct Ownership Interest | Aug 9, 2019 | 16.7% |
| Andria Jo Delauder | 5% Or Greater Direct Ownership Interest | Aug 9, 2019 | 16.7% |
Practitioners & affiliated clinicians
Affiliated clinicians 5
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": "1576022400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1634774400000",
"number": "1609414523",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1949 STATE ROUTE 37 W STE C",
"city": "DELAWARE",
"state": "OH",
"postal_code": "430151019",
"telephone_number": "740-990-1023",
"fax_number": "740-990-1040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1949 STATE ROUTE 37 W STE C",
"city": "DELAWARE",
"state": "OH",
"postal_code": "430151019",
"telephone_number": "740-990-1023"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TRANQUILITY HEALTH CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-12-11",
"last_updated": "2021-10-21",
"certification_date": "2021-10-21",
"status": "A",
"authorized_official_last_name": "KREIS",
"authorized_official_first_name": "ANDRIA",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "740-990-1023",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Delaware, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2021; 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.