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General NPI Number Information
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NPI Number | 1407503147
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Entity Type | Organization
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Legal Business Name | TRANQUILITY HOSPICE CORP
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Dates
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Enumeration Date | 03/02/2022
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Last Update Date | 10/29/2024
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Provider Practice Location Address
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Address Line | 3305 SPRING MOUNTAIN RD STE 72
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City | LAS VEGAS
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State | NV
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Zip | 89102-8626
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Country | US
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Telephone | 908-514-1956
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Fax |
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Provider Business Mailing Address
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Address Line | 9037 RENDON ST
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City | LAS VEGAS
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State | NV
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Zip | 89143-5449
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Country | US
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Telephone | 908-514-1956
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Fax |
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Authorized Official
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Title or Position | OWNER/ADMINISTRATOR
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Name | MRS. SANDRA LIMO
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Credential | BSN RN
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Telephone | 908-514-1956
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WH1000X
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Taxonomy Name | Hospice Registered Nurse
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number |
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License Number State |
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