Organization Active NPI

House of Tranquility Group Home LLC

  • Community/Behavioral Health Agency
  • Buckeye, AZ
National Provider Identifier
1831802388
Registry record updated Dec 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
HOUSE OF TRANQUILITY GROUP HOME LLC
Practice address
23612 W Pecan Rd
Buckeye, AZ 85326-7234
Phone
(602) 577-9122
NPI assigned
Dec 29, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2022

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

Authorized official

Name
Ieesha BoykinsNPI 1013627355
Title
Owner
Phone
(602) 577-9122

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

23612 W Pecan Rd
Buckeye, AZ 85326-7234

Mailing address

4706 N 124TH Ave
Avondale, AZ 85392-4265

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1672272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672272000000",
    "number": "1831802388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4706 N 124TH AVE",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853924265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23612 W PECAN RD",
            "city": "BUCKEYE",
            "state": "AZ",
            "postal_code": "853267234",
            "telephone_number": "602-577-9122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOUSE OF TRANQUILITY GROUP HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-29",
        "last_updated": "2022-12-29",
        "certification_date": "2022-12-29",
        "status": "A",
        "authorized_official_last_name": "BOYKINS",
        "authorized_official_first_name": "IEESHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-577-9122"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buckeye, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2022; 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.