Healthcare Provider Details

I. General information

NPI: 1942161526
Provider Name (Legal Business Name): TRANQUILITY BAY HOMES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/21/2025
Last Update Date: 11/21/2025
Certification Date: 11/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4811 5TH AVE S
ST PETERSBURG FL
33711-1421
US

IV. Provider business mailing address

4811 5TH AVE S
ST PETERSBURG FL
33711-1421
US

V. Phone/Fax

Practice location:
  • Phone: 727-317-6240
  • Fax: 727-655-9844
Mailing address:
  • Phone: 727-317-6240
  • Fax: 727-655-9844

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State

VIII. Authorized Official

Name: AARON SMITH
Title or Position: OWNER
Credential:
Phone: 650-440-0022