NPIMap

Organization Active NPI

Tranquility Haven, LLC

  • Assisted Living Facility
  • Titusville, FL
National Provider Identifier
1942697420
Registry record updated Apr 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
11805 Issued in FL
Legal business name
TRANQUILITY HAVEN, LLC
Practice address
1346 Wilderness LN
Titusville, FL 32796-4219
Phone
(321) 543-5911
Fax
(321) 985-0335
NPI assigned
Apr 22, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2015

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

Authorized official

Name
Linda Laura Cole
Title
Adminstrator
Phone
(321) 543-5911

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 11805 FL Primary

Addresses

Primary practice location

1346 Wilderness LN
Titusville, FL 32796-4219

Mailing address

1346 Wilderness LN
Titusville, FL 32796-4219
Phone (321) 543-5911

National Provider Directory

National Provider Directory
Tax ID family
Tranquility Haven LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1429660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429660800000",
    "number": "1942697420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1346 WILDERNESS LN",
            "city": "TITUSVILLE",
            "state": "FL",
            "postal_code": "327964219",
            "telephone_number": "321-543-5911",
            "fax_number": "321-985-0335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1346 WILDERNESS LN",
            "city": "TITUSVILLE",
            "state": "FL",
            "postal_code": "327964219",
            "telephone_number": "321-543-5911",
            "fax_number": "321-985-0335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRANQUILITY HAVEN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-22",
        "last_updated": "2015-04-22",
        "status": "A",
        "authorized_official_last_name": "COLE",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "LAURA",
        "authorized_official_title_or_position": "ADMINSTRATOR",
        "authorized_official_telephone_number": "321-543-5911"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "11805",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Titusville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2015; 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.