Organization Active NPI

Tranquil Care Services LLC

  • In Home Supportive Care Agency
  • Maple Grove, MN
National Provider Identifier
1730987546
Registry record updated Mar 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
TRANQUIL CARE SERVICES LLC
Practice address
11824 88TH Ave N
Maple Grove, MN 55369-3053
Phone
(612) 810-6644
NPI assigned
Mar 6, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2025

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

Authorized official

Name
Serious Jackson, SW
Title
Co-Owner
Phone
(612) 810-6644

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

11824 88TH Ave N
Maple Grove, MN 55369-3053

Mailing address

11824 88TH Ave N
Maple Grove, MN 55369-3053
Phone (612) 810-6644

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1741219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742860800000",
    "number": "1730987546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11824 88TH AVE N",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553693053",
            "telephone_number": "612-810-6644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11824 88TH AVE N",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553693053",
            "telephone_number": "612-810-6644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRANQUIL CARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-06",
        "last_updated": "2025-03-25",
        "certification_date": "2025-03-25",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "SERIOUS",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "612-810-6644",
        "authorized_official_credential": "SW"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maple Grove, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2025; 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.