Organization Active NPI

Tranquil Retreat, Inc

  • Assisted Living Facility
  • Hialeah, FL
National Provider Identifier
1982843363
Registry record updated Feb 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
AL10319 Issued in FL
Legal business name
TRANQUIL RETREAT, INC
Practice address
7224 W 29TH Way
Hialeah, FL 33018-5342
Phone
(954) 682-8678
Fax
(305) 223-2371
NPI assigned
Feb 9, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2009

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

Authorized official

Name
Judith Morales
Title
Owaner/Administrator
Phone
(954) 682-8678

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X AL10319 FL Primary

Addresses

Primary practice location

7224 W 29TH Way
Hialeah, FL 33018-5342

Mailing address

7224 W 29TH Way
Hialeah, FL 33018-5342
Phone (954) 682-8678

Other identifiers 1

IdentifierTypeStateIssuer
000375500MedicaidFL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1234137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234137600000",
    "number": "1982843363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7224 W 29TH WAY",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330185342",
            "telephone_number": "954-682-8678",
            "fax_number": "305-223-2371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7224 W 29TH WAY",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330185342",
            "telephone_number": "954-682-8678",
            "fax_number": "305-223-2371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRANQUIL RETREAT, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-09",
        "last_updated": "2009-02-09",
        "status": "A",
        "authorized_official_last_name": "MORALES",
        "authorized_official_first_name": "JUDITH",
        "authorized_official_title_or_position": "OWANER/ADMINISTRATOR",
        "authorized_official_telephone_number": "954-682-8678"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL10319",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000375500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2009; 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.