Healthcare Provider Details

I. General information

NPI: 1013384411
Provider Name (Legal Business Name): TRANQUILITY CARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/01/2015
Last Update Date: 09/01/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1812 CRATER ST
SIMI VALLEY CA
93063-3125
US

IV. Provider business mailing address

1812 CRATER ST
SIMI VALLEY CA
93063-3125
US

V. Phone/Fax

Practice location:
  • Phone: 805-422-8480
  • Fax: 805-422-8524
Mailing address:
  • Phone: 805-422-8480
  • Fax: 805-422-8524

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: AMANDA SAENZ
Title or Position: CEO
Credential:
Phone: 805-422-8480