Healthcare Provider Details

I. General information

NPI: 1396813465
Provider Name (Legal Business Name): TRANQUILITY INCORPORATED
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/30/2006
Last Update Date: 03/24/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1050 SAN MIGUEL RD
CONCORD CA
94518-2094
US

IV. Provider business mailing address

1050 SAN MIGUEL RD
CONCORD CA
94518-2094
US

V. Phone/Fax

Practice location:
  • Phone: 925-825-4280
  • Fax: 925-676-1649
Mailing address:
  • Phone: 925-825-4280
  • Fax: 925-676-1649

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number140000186
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code332BN1400X
TaxonomyNursing Facility Supplies (DME)
License Number140000186
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code332BP3500X
TaxonomyParenteral & Enteral Nutrition Supplies (DME)
License Number140000186
License Number StateCA

VIII. Authorized Official

Name: MRS. VELDA PIERCE
Title or Position: EXECUTIVE ADMINISTRATOR
Credential:
Phone: 925-825-4280