Organization Active NPI

Tranquilityvilla Inc

  • Assisted Living Facility
  • West Palm Beach, FL
National Provider Identifier
1992143200
Registry record updated Jun 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
AL12097 Issued in FL
Legal business name
TRANQUILITYVILLA INC
Practice address
9637 Apache Blvd
West Palm Beach, FL 33412-1735
Phone
(561) 784-5837
Fax
(561) 318-5001
NPI assigned
Jun 8, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2013

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

Authorized official

Name
Keith D Hall
Title
Administrator
Phone
(561) 784-5837

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X AL12097 FL Primary

Addresses

Primary practice location

9637 Apache Blvd
West Palm Beach, FL 33412-1735

Mailing address

9637 Apache Blvd
West Palm Beach, FL 33412-1735
Phone (561) 784-5837

Other names 1

  • TRANQUILITYVILLA ALF Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1370649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370649600000",
    "number": "1992143200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9637 APACHE BLVD",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334121735",
            "telephone_number": "561-784-5837",
            "fax_number": "561-318-5001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9637 APACHE BLVD",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334121735",
            "telephone_number": "561-784-5837",
            "fax_number": "561-318-5001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRANQUILITYVILLA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-08",
        "last_updated": "2013-06-08",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "561-784-5837"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL12097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TRANQUILITYVILLA ALF",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2013; 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.