MEDICARE: TRANQUILITY HOSPICELLC

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

General Provider Information

NPI Number	:	1598235616
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TRANQUILITY HOSPICELLC

Provider Business Mailing Address
First Line	:	1946 FAIRLAND ST
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15210-4066
Country	:	US
Telephone Number	:	412-592-1576
Fax Number	:

Provider Business Practice Location Address
First Line	:	146 HAWTHORNE RD
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15209-1916
Country	:	US
Telephone Number	:	412-592-1576
Fax Number	:

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MARY RITA MULRONEY
Credential	:	RN
Telephone Number	:	412-592-1576

Provider Enumeration Date	:	12/01/2018
Last Update Date	:	12/01/2018

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Directions to “TRANQUILITY HOSPICELLC ” Practice Location

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