MEDICARE: TRANQUIL HEALTH LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	163WC1500X	Community Health Registered Nurse
2	163WP0808X	Psychiatric/Mental Health Registered Nurse
3	163WH0200X	Home Health Registered Nurse

General Provider Information

NPI Number	:	1619800729
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TRANQUIL HEALTH LLC

Provider Business Mailing Address
First Line	:	2717 MAGNOLIA WAY
Second Line	:
City	:	FOREST GROVE
State	:	OR
Zip	:	97116-1250
Country	:	US
Telephone Number	:	508-344-9717
Fax Number	:	971-441-7071

Provider Business Practice Location Address
First Line	:	2717 MAGNOLIA WAY
Second Line	:
City	:	FOREST GROVE
State	:	OR
Zip	:	97116-1250
Country	:	US
Telephone Number	:	508-344-9717
Fax Number	:	971-441-7071

Authorized Official
Title or Position	:	ADMINISTRATOR/ DIRECTOR
Name	:	ROSEMARY MAINA
Credential	:	MAINA
Telephone Number	:	508-344-9717

Provider Enumeration Date	:	06/08/2026
Last Update Date	:	06/08/2026

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Directions to “TRANQUIL HEALTH LLC ” Practice Location

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