MEDICARE: TRANQUILITY HOME CARE, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251G00000X	Community Based Hospice Care Agency	008068	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	HH024C	OTHER	TN	BCBS
2	0192100001	OTHER	TN	SECURE HORIZONS
3	0192100001	OTHER	TX	PACIFICARE

General Provider Information

NPI Number	:	1427058353
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TRANQUILITY HOME CARE, INC.

Provider Business Mailing Address
First Line	:	4231 GATE CRST
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78217-4807
Country	:	US
Telephone Number	:	210-967-0100
Fax Number	:	210-967-0118

Provider Business Practice Location Address
First Line	:	4231 GATE CRST
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78217-4807
Country	:	US
Telephone Number	:	210-967-0100
Fax Number	:	210-967-0118

Authorized Official
Title or Position	:	ADMINISTRATIVE ASSOCIATE
Name	:	MRS. PAULA JEANETTE ALBERTHAL
Credential	:	L.V.N.
Telephone Number	:	210-967-0100

Provider Enumeration Date	:	07/21/2005
Last Update Date	:	08/22/2020

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Directions to “TRANQUILITY HOME CARE, INC. ” Practice Location

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