MEDICARE: TRANQUILITY HOME CARE LLC

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	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1831079300
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TRANQUILITY HOME CARE LLC

Provider Business Mailing Address
First Line	:	4668 LONE TREE CT
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46234-3315
Country	:	US
Telephone Number	:	317-551-7994
Fax Number	:

Provider Business Practice Location Address
First Line	:	4668 LONE TREE CT
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46234-3315
Country	:	US
Telephone Number	:	317-551-7994
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	WENDOLYN CARMELLA ROPER
Credential	:
Telephone Number	:	317-551-7994

Provider Enumeration Date	:	09/05/2025
Last Update Date	:	09/05/2025

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Directions to “TRANQUILITY HOME CARE LLC ” Practice Location

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